These early neurological symptoms suggest dialysis disequilibrium syndrome, caused by rapid shifts in solute concentration that can lead to cerebral edema. The most effective immediate intervention is to reduce or pause the dialysis flow rate, which slows solute removal and lowers the osmotic gradient between blood and brain. Comfort measures or extra fluids do not correct the underlying problem, and delaying intervention while only observing could allow symptoms to worsen. Notifying the provider is important but should occur after the dialysis rate is decreased to stabilize the client.
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Physiological Integrity
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