Which is a key nursing intervention for a client experiencing ascites?

Assessing for signs of respiratory distress is crucial in managing a client with ascites. Ascites, which is the accumulation of fluid in the abdominal cavity, can lead to increased abdominal pressure, potentially impacting the diaphragm and lung function. This may cause symptoms such as shortness of breath or difficulty breathing. By closely monitoring the client for these signs, the nurse can take timely action to alleviate respiratory distress, which may include interventions like positioning the patient to optimize lung expansion or alerting the healthcare provider for further evaluation and treatment.

The other options do not prioritize the immediate respiratory concerns associated with ascites. Maintaining strict bed rest is not necessarily a key intervention; instead, mobilization within limits can be beneficial. Encouraging a high-sodium diet contradicts the management of ascites, as sodium retention can worsen fluid accumulation. Administering diuretics without a healthcare provider's order is inappropriate because such medications should always be managed by a licensed provider to avoid complications and ensure safe practice.