During an episode of disequilibrium syndrome, which action should the nurse prioritize?

Focusing on the client’s level of consciousness during an episode of disequilibrium syndrome is crucial because alterations in consciousness can indicate significant neurological effects or complications that can arise from this condition. Disequilibrium syndrome often occurs during dialysis, especially if there is rapid correction of uremic toxins, leading to fluid shifts and cerebral edema. By checking the level of consciousness, the nurse can assess the patient's neurological status and determine if there are any immediate concerns that need to be addressed, such as seizures, confusion, or signs of increased intracranial pressure.

While the other actions might seem relevant in different contexts, they do not take precedence over assessing consciousness. Administering normal saline, for example, might be part of treatment for dehydration or hypotension but would not directly address a potential acute change in neurological status. Increasing the dialysis flow rate could exacerbate symptoms and increase the risk of complications during an episode. Providing a warm blanket may improve comfort but does not address the critical assessment of neurological changes. Therefore, prioritizing the assessment of consciousness ensures timely intervention, which can be lifesaving in the context of disequilibrium syndrome.