A client with a history of alcoholism and cirrhosis is admitted with ascites and peripheral edema. The client's sodium level is 128 mmol/L. Which intervention is most appropriate for the nurse to implement for this client?

Question: A client with a history of alcoholism and cirrhosis is admitted with ascites and peripheral edema. The client's sodium level is 128 mmol/L. Which intervention is most appropriate for the nurse to implement for this client?

Answer options:

• Administer a sodium chloride 0.9% intravenous infusion. ✅ Provide a fluid restriction of 1000 mL/day.
• Increase dietary sodium intake.
• Administer a loop diuretic, such as furosemide 40 mg IV.

Correct answer: Provide a fluid restriction of 1000 mL/day.

Explanation: Hyponatremia in clients with cirrhosis and fluid overload (ascites, edema) is dilutional hyponatremia due to excess fluid, not true sodium deficiency. Fluid restriction is the most appropriate initial intervention to manage both the hyponatremia and fluid overload.