A nurse is caring for an infant whose guardian reports intermittent vomiting for several days in the pediatric unit. Exhibits Which of the following actions should the nurse take? (Select all that apply)

Choice A rationale: Evaluating the infant’s pain level using the FACES Scale is not appropriate for infants. The FACES Scale is typically used for children aged 3 years and older. Choice B rationale: Offering the infant small, frequent feedings of thickened liquids is not recommended in this scenario. The infant is on NPO (nothing by mouth) status due to the forceful vomiting and risk of aspiration. Choice C rationale: Measuring the infant’s head circumference is important to assess for any signs of increased intracranial pressure or hydrocephalus, which can be associated with vomiting. Choice D rationale: Implementing contact precautions is not necessary unless there is a known or suspected infectious cause for the vomiting. Choice E rationale: Weighing the infant is crucial to monitor for any significant weight loss, which can indicate dehydration or other underlying issues. Choice F rationale: Planning to administer a plain water enema to the infant is not appropriate in this scenario. The primary concern is the forceful vomiting, and an enema would not address this issue.