Question

What are additional nursing considerations for PN administration related to refeeding syndrome?

A. Monitor for electrolyte imbalances
B. Increase PN infusion rate
C. Administer diuretics
D. Encourage high-fat diet

Answer 1

When administering PN to patients at risk for refeeding syndrome, additional nursing considerations include monitoring for electrolyte imbalances, correcting dehydration, and collaborating with the healthcare team.

Step-by-step explanation:

When administering parenteral nutrition (PN) to patients at risk for refeeding syndrome, there are several nursing considerations to keep in mind.

1. Monitor for electrolyte imbalances: Refeeding syndrome can cause rapid shifts in electrolyte levels, especially phosphorus, potassium, and magnesium. Regular monitoring is essential to detect imbalances and take appropriate interventions.
2. Correction of dehydration: PN administration should include the replacement of fluid losses. Intravenous solutions such as ordinary NaCl or a mixture of isotonic saline and Na lactate can help restore hydration.
3. Collaborate with the healthcare team: Refeeding syndrome is a complex condition that requires a multidisciplinary approach. Collaborating with doctors, dieticians, and pharmacists is crucial to ensure safe and effective PN administration.