Medical Surgical Chloride #3

Question

The nurse understands that both hyperchloremia and hypochloremia have which similar clinical manifestations? Select all that apply.

Answers

  1. Fatigue
    • Rationale:

      This answer is correct because hyperchloremia and hypochloremia have at least two similar clinical manifestations including fatigue and muscle weakness. Serum chloride levels between 97-107 mEq/dL is considered normal. Anything < 97 or >107 mEq/dL is considered abnormal.

  2. Hypertension
    • Rationale:

      This answer is not correct because hypertension is a symptom of hyperchloremia. This is related to the underlying cause of hyperchloremia. Causes include conditions such as extreme diarrhea, kidney disease, extreme intake of salt, metabolic acidosis, respiratory alkalosis, and bromide poisoning. Hyperchloremia and hypochloremia have at least two similar clinical manifestations including fatigue and muscle weakness.

  3. Kidney disease
    • Rationale:

      This answer is not correct because kidney disease is a cause of hyperchloremia, not a symptom. Other causes include extreme diarrhea, kidney disease, extreme intake of salt, metabolic acidosis, respiratory alkalosis, and bromide poisoning. Hyperchloremia and hypochloremia have at least two similar clinical manifestations including fatigue and muscle weakness.

  4. Muscle weakness
    • Rationale:

      This answer is correct because hyperchloremia and hypochloremia have at least two similar clinical manifestations including fatigue and muscle weakness. Serum chloride levels between 97-107 mEq/dL is considered normal. Anything < 97 or >107 mEq/dL is considered abnormal.

  5. Metabolic alkalosis
    • Rationale:

      This answer is not correct because metabolic alkalosis is a cause of hypochloremia, not a symptom. Other causes include emphysema, heart failure, and persistent vomiting and diarrhea. Hyperchloremia and hypochloremia have at least two similar clinical manifestations including fatigue and muscle weakness.

Overview

Hyperchloremia and hypochloremia have at least two similar clinical manifestations including fatigue and muscle weakness. Abnormal serum chloride levels is an electrolyte imbalance that rarely occurs without other electrolyte abnormalities.

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

Fatigue and muscle weakness are more generalized, common-type symptoms and would be the most likely to consider for correct answers.

Video Rationale