CNM Certified Nurse Midwife

Category - Primary Care

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A series of laboratory examinations are conducted for a client who is admitted to the facility for an annual checkup. Blood is drawn for serum electrolyte testing. Which of the following assessment findings requires further evaluation?

Sodium = 137 mEq/L
Potassium = 4.3 mEq/L
Chloride = 93 mEq/L
Bicarbonate = 27 mEq/L

Explanation

Answer: C - The client’s serum chloride level is below the normal range of 98 to 107 mEq/L. Hypochloremia may be caused by excessive sweating or vomiting, or by adrenal and kidney diseases. The other laboratory findings are normal.

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