a client is admitted to the health care center with hyperglycemia, a 15-pound weight loss, and reports of vague upper and midabdominal pain that increases in intensity at night. the client' health history indicates alcoholism, smoking of a pack of cigarettes daily, and diabetes for the past 20 years. upon examination the nurse finds swelling in the feet and abdominal ascites. based on the clinical manifestations, which condition is the most likely diagnosis?