The nurse is caring for a child hospitalized with an acute IBD flare. Which interventions are appropriate? Select all that apply.

A. Maintain NPO status and administer IV fluids during severe exacerbations: During acute IBD flares with severe symptoms, bowel rest may be required to reduce intestinal stimulation. IV fluids prevent dehydration and support electrolyte balance while the gut recovers. B. Administer IV corticosteroids as ordered: Corticosteroids reduce intestinal inflammation and help control acute flare symptoms. They are a mainstay of treatment for severe IBD exacerbations when oral medications may not be tolerated. C. Offer probiotic supplements instead of prescribed medications: Probiotics may have some supportive benefit, but they cannot replace evidence-based pharmacologic therapies like corticosteroids or immunosuppressants. Relying solely on probiotics risks worsening the flare. D. Provide a high-protein, high-calorie diet when tolerated: Children with IBD are at risk for malnutrition and delayed growth. High-calorie, nutrient-dense foods support healing and growth once oral intake is reintroduced. E. Monitor weight and growth trends closely: Growth impairment is a major complication of pediatric IBD. Regular monitoring helps evaluate nutritional status, treatment effectiveness, and the need for dietary adjustments or supplements.