feeding syndrome. Which of the following signs or symptoms would the nurse expect to see with re-
feeding syndrome? Select all that apply.
a. Impaired mental status
b. Insulin resistance
c. Seizures
d. Persistent weight loss
e. Constipation - ANSWER✔✔-a,b,c
impaired mental status", "Insulin resistance" and "Seizures" are correct. Re-feeding syndrome can occur
as a response to nutrient reintroduction after a period of starvation. When an extremely malnourished
patient receives TPN, the body has to adjust to receiving nutrients again, which can cause shifts in
electrolytes in the body. These shifts in electrolytes can result in sudden and often fatal complications.
Signs and symptoms of re-feeding syndrome include confusion and impaired mental status, insulin
resistance, seizures, coma and death.
-"Persistent weight loss" is incorrect because by the time a patient develops re-feeding syndrome, the
onset of symptoms is so sudden that weight loss cannot be measured as part of the syndrome.
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