Select the 4 actions the nurse should take:

Assess orientation: The client is disoriented to time, indicating hepatic encephalopathy — serial neurological assessment is essential. Restrict sodium: Spironolactone and sodium restriction manage ascites (fluid accumulation in the abdomen). Avoid forceful nose blowing: The client has thrombocytopenia and coagulopathy from liver disease — any Valsalva maneuver or straining increases bleeding risk. Frequent rest: The client has weakness and shortness of breath — energy conservation prevents exacerbation. A low-carbohydrate diet is inappropriate — adequate calories (including carbohydrates) are needed; protein may be modified in encephalopathy. Contact isolation is not required for cirrhosis.