Fluid & Electrolyte NCLEX Practice Quiz (120 Questions)

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1. Question Lee Angela’s lab test just revealed that her chloride level is 96 mEq/L. As a nurse, you would interpret this serum chloride level as: A. High B. Low C. Within normal range D. High ... normal Incorrect Correct Answer: C. Within normal range Normal serum concentrations of chloride range from 95 to 108 mEq/L. Chloride is an anion found predominantly in the extracellular fluid. The kidneys predominantly regulate serum chloride levels. Most of the chloride, which is filtered by the glomerulus, is reabsorbed by both proximal and distal tubules (majorly by proximal tubule) by both active and passive transport. Option A: Hyperchloremia is an electrolyte disturbance in which there is an elevated level of the chloride ions in the blood. The normal serum range for chloride is 95 to 108 mEq/L, therefore chloride levels at or above 110 mEq/L usually indicate kidney dysfunction as it is a regulator of chloride concentration. [Show More]

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