A Pediatric Nurse Palpates a 2-Year-Old Child's Liver at 4

A pediatric nurse palpates a 2-year-old child's liver at 4 cm below the right costal margin.Which actions by the nurse are appropriate? (Select all that apply.)

A) Assess work of breathing.
B) Auscultate lung sounds.
C) Calculate child's intake and output.
D) Determine last bowel movement.
E) Listen for heart murmur.