A nurse is assisting with the care of a client who has cirrhosis of the liver with ascites. Which of the following actions should the nurse take?

A. Weigh the client weekly: Fluid changes in ascites can occur rapidly; daily weights (same scale, same time) are the standard for monitoring fluid status, so weekly is inadequate. B. Position the client flat in bed: Flat position can impair breathing with large ascites; elevate head of bed as needed for comfort and respiratory effort. C. Medicate the client with acetaminophen for discomfort: Use caution - acetaminophen is metabolized by the liver; if necessary, small doses may be used per provider guidance, but high doses or frequent use risk hepatotoxicity in liver disease. D. Measure the client's abdominal girth every 8 hr: Frequent abdominal girth measurements (e.g., each shift or every 8 hours) help detect rapid changes in ascites volume and are appropriate in the hospitalized client.