A Patient Is Placed in Ventilator Support with the Diagnosis

A patient is placed in ventilator support with the diagnosis of botulism and failure to thrive. Which nursing actions would be most appropriate for this patient? Select all that apply.

A) maintaining intravenous fluids at KVO (keep vein open)
B) assessing bowel sounds once a shift
C) referring the patient for a physical therapy consult
D) recording the patient's ongoing calorie count
E) assessing the patient's urinary output every hour