Which of the following factors is not involved in the refeeding syndrome?
a. Dextrose solutions increase insulin secretions that together promote shifting of serum potassium intracellularly.
b. Hypernatremia leads to increased circulating volume or fluid retention.
c. A drop in serum potassium often results in higher levels of sodium.
d. Triglyceride levels exceed 400 milligram/deciliter.
Question 2
During transition from TPN to oral feedings, what clinical manifestations would most indicate the need to temporarily limit the size and/or frequency of oral intake?
a. nausea and diarrhea
b. flushing and palpitations
c. ketones and protein in the urine
d. dyspnea and jugular vein distention
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