A nurse is contributing to the plan of care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse recommend for inclusion in the plan of care?
Explanation & Rationale
A. Increase the client's sodium intake: Increased sodium promotes fluid retention and worsens ascites. B. Increase the client's saturated fat intake: Increased saturated fat is not beneficial and may worsen overall nutrition/metabolic status; focus is on balanced nutrition. C. Decrease the client's fluid intake: Fluid restriction may be recommended for clients with hyponatremia or refractory ascites to help control fluid overload; it is a commonly used intervention when indicated. (Note: the primary and universal intervention is sodium restriction; fluid restriction is used selectively based on sodium status and provider orders.) D. Decrease the client's carbohydrate intake: Restricting carbohydrates is not a standard intervention for ascites; overall adequate calories with protein (unless contraindicated) and sodium restriction are more important.