The nurse on a pediatric unit is caring for a child with short bowel syndrome. When providing nutritional therapy for the child, the nurse checks for feeding intolerance by making which daily assessments? (Select all that apply.)
A. Intake and output
B. Stool volume
C. Specific gravity
D. Vital signs
E. Weight
ANS: A, C, E
Assessing feeding tolerance must be included as part of nursing care for a child with short bowel syndrome. Input, output, specific gravity, and weights are also assessed daily by the nurse. Stools are tested for occult blood, pH, and reducing substances. Patients are monitored for vomiting, changes in the appearance of the stools, and abdominal distention. Stool volume is not one of the daily assessments. Vital signs are assessed on all children, but are not directly related to feeding tolerance.
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