When caring for a client with hepatic encephalopathy, which assessment finding should be reported immediately?

In the context of caring for a client with hepatic encephalopathy, alterations in the level of consciousness are critical assessment findings that necessitate immediate reporting. Hepatic encephalopathy is characterized by the accumulation of toxins in the body due to liver dysfunction, leading to neurological disturbances. Changes in consciousness can indicate a worsening of the condition, such as progressing to more severe encephalopathy or the onset of coma, which requires prompt medical intervention.

Monitoring a client's cognitive function and responsiveness is essential because any significant change may suggest a need for immediate changes in treatment or further diagnostic evaluation. Timely communication with the healthcare team can facilitate necessary interventions, potentially preventing complications and improving patient outcomes.

While other findings, such as increased urine output, abdominal distension, or decreased appetite, warrant attention and monitoring, they do not indicate an immediate threat to the client’s neurological status like alterations in consciousness do. Thus, the immediate reporting of consciousness changes is paramount in the care of a patient with hepatic encephalopathy.