The nurse is planning care for a pediatric client recovering from surgery to repair a congenital heart defect.Which intervention should the nurse include to support the client's fluid status?

Question

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A) The child should be encouraged to begin oral fluids and nutrition when permitted. Although oral fluids are rarely limited, intake and output should be carefully assessed. Fluids and antibiotics should be provided as ordered until the child's oral intake is normal. Once normal, the line can be converted to a heparin or saline lock. Both intake and output should be monitored. While assessing the child's pain is important, this is not an intervention to support the client's fluid status.
B) The child should be encouraged to begin oral fluids and nutrition when permitted. Although oral fluids are rarely limited, intake and output should be carefully assessed. Fluids and antibiotics should be provided as ordered until the child's oral intake is normal. Once normal, the line can be converted to a heparin or saline lock. Both intake and output should be monitored. While assessing the child's pain is important, this is not an intervention to support the client's fluid status.
C) The child should be encouraged to begin oral fluids and nutrition when permitted. Although oral fluids are rarely limited, intake and output should be carefully assessed. Fluids and antibiotics should be provided as ordered until the child's oral intake is normal. Once normal, the line can be converted to a heparin or saline lock. Both intake and output should be monitored. While assessing the child's pain is important, this is not an intervention to support the client's fluid status.
D) The child should be encouraged to begin oral fluids and nutrition when permitted. Although oral fluids are rarely limited, intake and output should be carefully assessed. Fluids and antibiotics should be provided as ordered until the child's oral intake is normal. Once normal, the line can be converted to a heparin or saline lock. Both intake and output should be monitored. While assessing the child's pain is important, this is not an intervention to support the client's fluid status.

The Nurse Is Planning Care for a Pediatric Client Recovering