The client is a 12-year-old male who sustained a gunshot wound to his abdomen. He had a surgical repair of a perforated small intestine 4 days ago. The client is 112.4 Ib. (51 kg). He has a nasogastric tube, a left femoral central line for fluids, and a right hand peripheral intravenous line. Review H and P, laboratory results, flow sheet, and orders. The nurse receives the report from the lab and documents the intake and output for 1600. Based on the client's information at 1600, what symptoms should the nurse look for? Select all that apply.

A. Edema can be a symptom to watch for, as it may indicate fluid retention or imbalance, especially in a client who has received intravenous fluids. D. Dry skin may be a symptom to observe, as it could suggest dehydration or fluid imbalances. E. Intense thirst is a symptom to be alert for, as it may be an indication of dehydration or an electrolyte imbalance. F. Muscle weakness is a potential symptom to monitor for, as it could be related to electrolyte imbalances or other complications following surgery and injury. B, C, and G are not the primary symptoms to expect based on the client's information and history, but they should still be monitored as part of routine assessment. Irritability and fatigue can be nonspecific symptoms that may occur in various clinical situations. Hypertension may or may not be a symptom, and it is essential to assess the client's blood pressure in the context of their overall condition. The client's history and the presence of medical devices and surgical intervention indicate the need for close monitoring of fluid balance and electrolyte status.