Which nursing actions should be included in the care plan for a client with cirrhosis and ascites?

In the management of a client with cirrhosis and ascites, monitoring daily weight is a crucial nursing action. This practice helps assess fluid retention and the effectiveness of treatment measures. Ascites, which is the accumulation of fluid in the abdominal cavity, often leads to fluctuations in the client's weight, making it essential to track these changes regularly. Gaining weight can indicate worsening fluid retention, which may necessitate adjustments in diuretics or other interventions.

In contrast to monitoring weight, it's important to recognize that measuring abdominal girth is also a relevant nursing action, as it helps quantify the extent of ascites. Monitoring respiratory status is vital but more of a secondary concern unless associated symptoms arise. Placing the client in a supine position is inappropriate for those with significant ascites, as it can hinder respiratory function and fluid distribution; a semi-Fowler's position is generally recommended for better comfort and respiratory mechanics.