If a client is experiencing confusion and drowsiness while on desmopressin, what is the best action for the nurse?

In the scenario where a client is experiencing confusion and drowsiness while on desmopressin, taking the client's vital signs is the most appropriate initial action. Vital signs provide fundamental information about the client's current physiological state, including blood pressure, heart rate, respiratory rate, and temperature. These parameters can help determine the severity of the client's condition and guide further interventions.

For instance, changes in vital signs may indicate fluid overload, which can occur with desmopressin treatment due to its effects on water retention and antidiuretic properties. Monitoring vital signs can reveal whether the client is experiencing any alterations indicative of hypotension or other significant changes that require immediate attention.

Once vital signs are assessed, this information can be used to determine the next steps, such as whether to escalate the situation by calling the healthcare provider or providing additional interventions based on the readings. This systematic approach is crucial in ensuring patient safety and delivering effective care.