A nurse is reinforcing teaching with a client who has cirrhosis of the liver. Which of the following statements should be included in the education materials?

Managing cirrhosis involves understanding liver dysfunction, fluid balance, and metabolic constraints. Knowledge of dietary sodium's role in osmotic pressure and fluid retention is essential for teaching clients how to manage complications like ascites and portal hypertension through nutritional interventions. Choice A rationale . Clients with advanced liver disease often require rest to reduce metabolic demands on the liver and improve renal blood flow. Excessive activity can worsen fatigue and potentially increase portal pressure, so activity should be balanced with frequent rest. Choice B rationale . Acetaminophen is primarily metabolized by the liver and can be hepatotoxic, even in moderate doses, for clients with cirrhosis. Pain management must be carefully monitored, and hepatotoxic drugs should be avoided to prevent further liver injury or failure. Choice C rationale . Sodium causes water retention, which exacerbates ascites and peripheral edema in liver failure. Normal serum sodium is 135 to 145 mEq/L; avoiding high-sodium processed foods is critical to managing fluid volume and reducing the risk of complications. Choice D rationale . Large meals can be difficult to digest and may cause discomfort due to abdominal pressure from ascites. Clients are usually encouraged to eat small, frequent meals to maintain adequate caloric intake without causing significant gastric distension or metabolic strain.