Which foods should a client with a serum chloride level of 190 mEq/L avoid?

A client with a serum chloride level of 190 mEq/L is experiencing hyperchloremia, which is an elevated concentration of chloride in the blood. In cases of hyperchloremia, it is important to consider dietary choices, as certain foods can exacerbate the condition.

Black olives are particularly high in sodium and chloride due to the brining process used in their preparation. High sodium intake can lead to increased chloride levels, as sodium and chloride are often exchanged in the body's regulatory mechanisms. Therefore, avoiding foods like black olives helps mitigate the risk of worsening hyperchloremia.

In contrast, fresh fruits, raw vegetables, and whole grains generally contain lower levels of sodium and chloride and are associated with promoting good overall health and fluid balance. These foods can actually contribute to a more balanced electrolyte level, making them safer dietary choices for someone with elevated serum chloride.