Page 1896 - Saunders Comprehensive Review For NCLEX-RN

water goes into cerebral cells because of the osmotic gradient, causing increased
intracranial pressure and onset of symptoms. The syndrome most often occurs in
clients who are new to dialysis and is prevented by dialyzing for shorter times or at
reduced blood flow rates. Tachycardia and fever are associated with infection.
Generalized weakness is associated with low blood pressure and anemia.
Restlessness and irritability are not associated with disequilibrium syndrome.
Test-Taking Strategy: Focus on the subject, disequilibrium syndrome. Think
about the pathophysiology and that brain cells are responsive to changes in
osmolarity. This will assist you to choose the correct option describing neurological
symptoms.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Adult Health: Renal and Urinary
Health Problem: Adult Health: Renal and Urinary: Chronic kidney disease
Priority Concepts: Elimination; Intracranial Regulation
Reference: Ignatavicius, Workman, Rebar (2018), p. 1417.

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