A 4-year-old child with short bowel syndrome is admitted for nutritional management. The nurse notes the child has poor weight gain, frequent loose stools. and signs of iron deficiency anemia. Considering the child's condition, which nursing intervention should be prioritized to address the nutritional deficits?

A. Limit fluid intake to reduce bowel movements is incorrect because children with short bowel syndrome are at high risk for dehydration due to malabsorption and frequent diarrhea. Fluid restriction would worsen hydration status and compromise electrolyte balance. B. Withhold iron supplementation is incorrect because iron deficiency anemia is already present. Delaying supplementation would exacerbate anemia, impair growth, and delay recovery. Iron should be administered carefully, considering tolerance and absorption. C. Administer partially hydrolyzed, high-calorie enteral formulas is correct. Children with short bowel syndrome have reduced absorptive surface area, making nutrient absorption difficult. Partially hydrolyzed formulas provide predigested proteins and carbohydrates, which are easier to absorb. High-calorie formulas help meet energy needs, promote weight gain, and address deficiencies, including iron, calcium, and fat-soluble vitamins. This intervention directly targets the nutritional deficits and growth challenges associated with short bowel syndrome. D. Encourage a high-fiber diet is incorrect because high-fiber foods can worsen diarrhea in children with short bowel syndrome. Fiber increases stool bulk and may reduce nutrient absorption, further contributing to poor weight gain and fluid loss.