Nutrition, Hydration and Electrolytes · NCLEX Exam

Why should a patient with malnutrition starting re-feeding after being NPO be closely monitored for worsening hypophosphatemia?

  1. Hypophosphatemia worsening, characteristic of refeeding syndrome
  2. Isolated hypermagnesemia without other electrolyte changes
  3. Weight gain alone occurring without any electrolyte shifts
  4. Hypernatremia developing as the sole metabolic disturbance
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Correct answer: Hypophosphatemia worsening, characteristic of refeeding syndrome

Re-feeding syndrome can cause rapid shifts in electrolytes, especially phosphate, necessitating close monitoring during nutrition initiation.

Difficulty: Hard Question 4 of 20

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