Medical Surgical Chloride #2

Question

Which client lab results should the nurse report to the healthcare provider because it reflects an abnormal chloride blood level? Select all that apply.

Answers

  1. 98 mEq/dL
    • Rationale:

      This answer is not correct because 98 mEq/dL is within the normal levels of serum chloride. Serum chloride levels between 97-107 mEq/dL is considered normal. Anything < 97 or >107 mEq/dL is considered abnormal.

  2. 73 mEq/dL
    • Rationale:

      This answer is correct because 73 mEq/dL reflects hypochloremia. Anything < 97 or >107 mEq/dL is considered abnormal.

  3. 135 mEq/dL
    • Rationale:

      This answer is correct because 135 mEq/dL reflects hyperchloremia. Anything < 97 or >107 mEq/dL is considered abnormal.

  4. 105 mEq/dL
    • Rationale:

      This answer is not correct because 105 mEq/dL is within the normal levels of serum chloride. Serum chloride levels between 97-107 mEq/dL is considered normal. Anything < 97 or >107 mEq/dL is considered abnormal.

  5. 88 mEq/dL
    • Rationale:

      This answer is correct because 88 mEq/dL reflects hypochloremia. Anything < 97 or >107 mEq/dL is considered abnormal.

Overview

Serum chloride levels between 97-107 mEq/dL is considered normal. Anything < 97 or >107 mEq/dL is considered abnormal serum chloride levels.

Explanation

Learning Outcomes

Abnormal serum chloride levels is an electrolyte imbalance that rarely occurs without other electrolyte abnormalities. Serum chloride levels between 97-107 mEq/dL is considered normal. Anything < 97 or >107 mEq/dL is considered abnormal. Hypochloremia is an abnormally low chloride level (<97 mEq/dL). This is caused by conditions including emphysema, heart failure, metabolic alkalosis, and persistent vomiting, and diarrhea. Symptoms include breathing difficulty, fatigue, muscle weakness, and hypovolemia. Hyperchloremia is an abnormally elevated chloride level (>107 mEq/dL). This is caused by conditions including extreme diarrhea, kidney disease, extreme intake of salt, metabolic acidosis, respiratory alkalosis, and bromide poisoning. Symptoms include extreme thirst, hypertension, dry mucous membranes, fatigue, and weakness.

Test Taking Tip

Understand the parameters for normal chloride levels. Normal levels are between 97-107 mEq/dL.

Video Rationale