What is an important action for a nurse when managing the care of a client with splenomegaly?

When managing the care of a client with splenomegaly, using caution when palpating the abdomen is a crucial action because the spleen is enlarged and more vulnerable to injury. Palpating an enlarged spleen can result in the risk of rupturing the organ, leading to internal bleeding and other serious complications. Therefore, nurses should assess the patient's abdomen gently to avoid causing trauma to the spleen.

Encouraging strenuous exercise is inappropriate as physical strain could exacerbate the condition or place additional stress on the spleen. Administering anticoagulants routinely may not be necessary or appropriate unless there is a clear indication, such as a specific risk of clotting disorders. Finally, limiting oral intake does not directly address the management of splenomegaly and could lead to unnecessary complications like dehydration or nutritional deficiencies if not warranted by the patient's specific condition.