The most appropriate action by the nurse would be to follow the orders for daily weights, strict intake and output, and calorie counts as closely as possible. Failure to thrive in a child can have serious consequences, so it is important to carefully monitor the child's nutrition and growth to identify any issues early on.
Here are some specific actions the nurse could take:
Weigh the child every day: Weighing the child every day will help the nurse monitor their growth and identify any changes in weight that may indicate a problem.
Monitor the child's intake and output: Keep track of everything the child eats and drinks, as well as how much they urinate and have bowel movements. This will help the nurse ensure that the child is getting enough nutrition and identify any potential problems, such as dehydration.
Count calories: Calculate the number of calories the child is consuming each day and compare it to the recommended daily intake for their age and weight. This will help the nurse ensure that the child is getting enough calories to support their growth and development.
Collaborate with the healthcare team: Work with the child's healthcare team, including their physician and any other specialists involved in their care, to ensure that the child's needs are being met and any issues are addressed promptly.
Monitor the child for signs of distress: Watch for signs of distress or discomfort in the child, such as fatigue, irritability, or changes in appetite. Report any concerns to the healthcare team immediately.
By following these actions, the nurse can help ensure that the child with failure to thrive is receiving the care and support they need to thrive and grow.