A nurse is planning care for a preschooler who has leukemia. After reviewing the child's information, which of the following potential issues should the nurse identify that the child is at risk for developing? (Select all that apply.)

Choice A reason: Offering the client a reward for agreeing to the treatment is not an appropriate action, as it does not respect the client's autonomy and may be seen as coercive or manipulative.

Choice B reason: Notifying the provider of the client's refusal and documenting it in the chart is a necessary action, but not the first one. The nurse should first attempt to educate the client and the parent and address their concerns and preferences.

Choice C reason: Initiating the treatment as per the parent's request and the provider's order is not an appropriate action, as it violates the client's right to informed consent and may cause harm or resentment.

Choice D reason: Educating the client and the parent about the benefits and risks of the treatment is the best action, as it provides them with the information they need to make an informed decision and shows respect for their values and beliefs.

Choice A reason: Water is not the best choice for a child who has acute gastroenteritis, as it does not contain the electrolytes and glucose that are lost through vomiting and diarrhea. Water alone can also dilute the blood sodium level and cause hyponatremia.

Choice B reason: Oral rehydration solution is the best choice for a child who has acute gastroenteritis, as it contains the optimal balance of electrolytes and glucose to prevent dehydration and electrolyte imbalance. It also helps to restore the intestinal function and prevent acidosis.

Choice C reason: Diluted apple juice is not the best choice for a child who has acute gastroenteritis, as it contains too much sugar and not enough sodium. This can worsen the diarrhea and cause hyperglycemia and hyperosmolar dehydration.

Choice D reason: Milk is not the best choice for a child who has acute gastroenteritis, as it can aggravate the intestinal inflammation and cause lactose intolerance. Milk can also increase the risk of bacterial infection and septicemia.