A nurse is preparing discharge instructions for a client who has a history of cirrhosis, ascites and fluid volume overload. Which of the following statements should be included in the education materials?

Cirrhosis with ascites and fluid volume overload reflects advanced portal hypertension, hepatic synthetic failure, hypervolemia, and risk of complications such as spontaneous bacterial peritonitis (SBP) and hepatic encephalopathy, requiring close monitoring for infection and neurologic deterioration. Rationale: A. High-sodium foods such as canned soups and processed meats worsen fluid retention by increasing intravascular osmotic load, exacerbating ascites and edema. Dietary sodium restriction (typically <2 g/day) is essential in managing cirrhotic fluid overload. B. Acetaminophen must be used cautiously in cirrhosis due to impaired hepatic metabolism, increasing risk of hepatotoxicity even at therapeutic doses. NSAIDs are also avoided due to renal impairment and bleeding risk, making this instruction potentially unsafe. C. Clients with cirrhosis are often recommended to consume small, frequent, high-calorie meals rather than large meals due to early satiety from ascites and impaired nutrient metabolism. Large meals can worsen abdominal discomfort and reduce intake. D. Fever, abdominal pain, and increased confusion are signs of spontaneous bacterial peritonitis and hepatic encephalopathy. These are medical emergencies requiring immediate evaluation and treatment due to risk of sepsis and worsening neurologic dysfunction.