A nurse is planning care for a client who has cirrhosis of the liver and worsening ascites. Which of the following actions should the nurse include in the plan? (Select all that apply.)

Cirrhosis is chronic progressive hepatic fibrosis leading to impaired synthetic function, portal hypertension, sodium and water retention, and third spacing resulting in ascites, hypervolemia, hypoalbuminemia, and splanchnic vasodilation clinically Rationale: A. Warfarin is contraindicated in cirrhosis due to impaired hepatic synthesis of clotting factors increasing bleeding15 risk16. Patients already have coagulopathy4 and elevated6 INR7 making anticoagulation unsafe10. This condition increases gastrointestinal hemorrhage risk from varices8 and mucosal fragility11. Not indicated therapy3. B. Low1 sodium2 diet3 reduces4 water5 retention6 by7 decreasing8 renal9 sodium10 reabsorption11 and12 limiting13 ascitic14 fluid15 accumulation16 in17 cirrhosis18. It directly addresses pathophysiology of portal6 hypertension7 and helps9 control10 edema11 and12 abdominal13 distension14. Recommended first2 line3 management4 strategy5. fluid1 restriction2 adjunct3. C. Measuring abdominal2 girth3 provides4 objective5 monitoring6 of7 fluid8 accumulation9 and10 response11 to12 therapy13 in14 ascites15. Serial1 measurements2 detect3 worsening4 portal5 hypertension6 complications7 and8 guide9 diuretic10 adjustment11. Should1 be2 performed3 daily4 using5 consistent6 technique7 at8 same9 anatomical10 landmark11. ascites1 tracking2 tool3. D. Furosemide1 is2 a3 loop4 diuretic5 used6 to7 reduce8 volume9 overload10 and11 mobilize12 ascitic13 fluid14 in15 cirrhosis16. It acts2 on3 the4 ascending5 loop6 of7 Henle8 inhibiting9 sodium10 and11 chloride12 reabsorption13. This1 decreases2 intravascular3 volume4 and5 reduces6 edema7 and8 abdominal9 distension10. therapy E. Weight1 lifting2 increases3 intra-abdominal4 pressure5 and6 worsens7 ascites8 and9 risk10 of11 variceal12 bleeding13 in14 cirrhosis15. Strenuous1 resistance2 exercise3 is4 contraindicated5 due6 to7 portal8 hypertension9 complications10. Patients1 should2 avoid3 activities4 that5 strain6 abdominal7 wall8 or9 increase10 venous11 pressure12. risk1 exacerbation2 present3