A nurse is caring for a client who has cirrhosis of the liver. Which of the following actions should the nurse take?

Choice A reason: Monitoring for abdominal ascites is essential in cirrhosis because portal hypertension and hypoalbuminemia lead to fluid accumulation in the peritoneal cavity. Ascites can cause respiratory compromise, infection risk (spontaneous bacterial peritonitis), and discomfort. Early detection allows timely interventions such as diuretics, paracentesis, or sodium restriction. Choice B reason: A low-carbohydrate diet is not indicated in cirrhosis. Clients with cirrhosis often require adequate calories, including carbohydrates, to prevent muscle wasting and maintain energy. Restricting carbohydrates could worsen malnutrition. Choice C reason: Reviewing serum amylase levels is more relevant to pancreatitis, not cirrhosis. Liver function is better assessed with ALT, AST, bilirubin, and albumin levels. Amylase does not provide useful information in cirrhosis management. Choice D reason: Warm compresses may temporarily relieve pruritus, but they do not address the underlying cause, which is bile salt accumulation due to impaired liver function. More effective interventions include cholestyramine or antihistamines.