What is the nurse's priority action when a client shows signs of confusion postoperatively?

When a client shows signs of confusion postoperatively, the priority action for the nurse is to assess the client's neurological status. This assessment is critical in determining the underlying cause of the confusion, which can range from transient effects of anesthesia to more serious complications such as hypoxia, electrolyte imbalances, or stroke.

Thoroughly assessing the neurological status involves evaluating the client’s level of consciousness, orientation, motor responses, and any other neurological signs that may indicate an emerging problem. Understanding the severity and nature of the confusion enables timely intervention and appropriate care.

While informing the surgeon is an important action in cases of significant concern, it should follow an initial assessment to provide the surgeon with accurate information regarding the client’s condition. Providing reassurance can help to reduce anxiety, but it does not address the potential underlying issues that could cause confusion. Checking medications is also relevant, particularly to rule out sedative effects or adverse reactions, but it comes after the essential step of assessing the client's neurological condition.

Thus, prioritizing the assessment allows for a systematic approach to identifying the cause of confusion and determining the necessary interventions, ensuring the client's safety and wellbeing.