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Which electrolyte imbalance is most commonly associated with refeeding syndrome?

A.

Hypermagnesemia

B.

Hypercalcemia

C.

Hypophosphatemia

D.

Hyponatremia

Answer and Explanation

The Correct Answer is C

Rationale:

A. Magnesium levels may actually drop, not rise, during refeeding syndrome due to intracellular shifts.

B. Calcium levels are typically not elevated as a direct result of refeeding syndrome.

C. Refeeding syndrome occurs when malnourished patients receive rapid carbohydrate reintroduction, triggering insulin release. This drives phosphate, potassium, and magnesium into cells, with phosphate depletion being the hallmark and most clinically significant electrolyte disturbance. Hypophosphatemia can cause muscle weakness, respiratory failure, and cardiac dysfunction.

D. Sodium levels may fluctuate, but hyponatremia is not the primary concern in refeeding syndrome.


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Related Questions

Correct Answer is B

Explanation

Rationale:
A. Pain in this area is more commonly associated with appendicitis, not diverticular disease.
B. Lower left quadrant is the typical site of pain in diverticular disease, especially diverticulitis, because the sigmoid colon (most often affected) is located here.
C. Upper left quadrant; Pain in this area is more often linked to conditions involving the spleen, stomach, or pancreas.
D. Upper right quadrant; Pain here is usually related to gallbladder, liver, or biliary tract disorders.

Correct Answer is ["D","E","F"]

Explanation

Rationale:

  • Improved breathing indicates that the removal of ascitic fluid has relieved diaphragmatic pressure, allowing better lung expansion.
  • Decreased abdominal pressure demonstrates that fluid removal has reduced intra-abdominal tension, improving mobility and comfort.
  • Relief of abdominal discomfort is a primary goal of paracentesis, as it enhances quality of life and reduces pain caused by fluid accumulation.
  • Stable vital signs and absence of respiratory distress are important for monitoring safety but are not direct measures of the procedure’s effectiveness.
  • Reduced ascitic fluid volume is the mechanism of action of paracentesis, while the client’s symptomatic relief is the best indicator of clinical success.

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