A severely malnourished patient on TPN has altered electrolyte levels, hyperglycemia, and fluid retention.The nurse recognizes that the patient may be experiencing:

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The patient may be experiencing refeeding syndrome, which occurs when a severely malnourished patient is started on TPN, leading to rapid changes in electrolyte levels (especially phosphorus, potassium, and magnesium), hyperglycemia, and fluid retention. It is important to monitor for and manage refeeding syndrome to avoid potential complications such as heart failure, respiratory failure, and even death.

A Severely Malnourished Patient on TPN Has Altered Electrolyte Levels