A client with liver cirrhosis and ascites is experiencing abdominal pain and discomfort. The nurse should recognize that this pain is primarily due to:

Choice A reason:

Electrolyte imbalances can occur in clients with ascites, but they are not directly related to the symptoms of fatigue and weakness described by the client.

Choice B reason:

Iron deficiency anemia may be present in clients with chronic liver disease, but it is not the primary cause of the client's fatigue and weakness in this scenario.

Choice C reason:

Hepatic encephalopathy is a complication of liver disease, but it typically presents with neurological symptoms such as confusion, altered mental status, and behavior changes, not fatigue and weakness.

Choice D reason:

This statement is correct. Fatigue and weakness are common symptoms in clients with chronic liver disease and ascites, and they can be related to malnutrition, which is often seen in these clients due to poor appetite, nutrient malabsorption, and other factors related to liver dysfunction.

Choice A reason:

Encouraging the client to lie flat in bed may worsen abdominal distention and discomfort. It is better to promote positions that facilitate fluid drainage, such as elevating the head of the bed or placing the client in a side-lying position.

Choice B reason:

Administering laxatives may not be appropriate for ascites management and could lead to electrolyte imbalances. It is essential to manage bowel movements cautiously, considering the client's fluid and electrolyte status.

Choice C reason:

This statement is correct. Assisting the client with regular and gentle ambulation can help facilitate fluid movement and reduce abdominal distention. Movement helps stimulate peristalsis and may improve drainage of fluid from the abdominal cavity.

Choice D reason:

Applying cold packs to the abdomen may provide temporary relief for localized pain but will not directly address the underlying issue of ascites or reduce abdominal distention.