A nurse is assessing an infant who has heart failure. Which of the following findings should the nurse expect? (Select all that apply.)

Choice A reason: Oral rehydration therapy is the first-line treatment for dehydration due to diarrhea, as it effectively restores fluid and electrolyte balance.

Choice B reason: While chicken broth may provide some salt, it lacks the necessary electrolytes and glucose needed for effective rehydration.

Choice C reason: A hypertonic IV solution is not typically used for dehydration due to diarrhea, as it can exacerbate fluid shifts and dehydration.

Choice D reason: Keeping a child NPO is not recommended as it can lead to further dehydration and delay recovery.

Choice A reason:
Bowel sounds are a general indicator of intestinal activity and can be assessed in patients with various conditions. However, they are not specific to the effectiveness of Esomeprazole, which is primarily used to reduce gastric acid production and prevent stress ulcers, particularly in patients with burn injuries⁷.

Choice B reason:
Stool frequency may indicate gastrointestinal motility and function but does not directly assess the effectiveness of Esomeprazole. This drug's main role is to decrease stomach acidity, which would not necessarily change stool frequency unless there was a pre-existing issue related to acid production⁷.

Choice C reason:
Abdominal distention can be caused by a variety of factors, including gas, fluid, or enlargement of organs. While it's important to monitor in burn patients, it does not specifically evaluate the effectiveness of Esomeprazole in preventing gastric acid-related complications⁷.

Choice D reason:
A fecal occult blood test is used to detect bleeding in the gastrointestinal tract, which could signify the development of stress ulcers. Since Esomeprazole is prescribed to prevent such ulcers by reducing stomach acid, this test is a direct measure of the drug's effectiveness in burn patients⁷.