A severely malnourished client was started on enteral feedings. The following day, the client is confused, has a heart rate of 112 beats/min, and reports feeling weak. Which laboratory value does the nurse correlate with this condition?
a. Serum phosphate, 1.8 mg/dL
b. Serum potassium, 3.1 mEq/L
c. Serum sodium, 143 mEq/L
d. Serum glucose, 110 mg/dL
A
This client has refeeding syndrome, which is caused primarily by hypophosphatemia. The serum phosphate level is low. The potassium is slightly low, but this is not related. The sodium is nor-mal, and the glucose is not related.
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