A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect? Select all that apply.

A. Provide for periods of rest. Correct. Children with heart failure have reduced exercise tolerance and fatigue easily. Regular periods of rest help prevent overexertion and cardiac strain.

B. Increase the child's oxygen flow rate until the child no longer has cyanosis. This can be dangerous. Oxygen therapy should be used as prescribed by a healthcare provider, as excessive oxygen can lead to oxygen toxicity or other complications, especially in children with heart conditions.

C. Withhold digoxin if the child's pulse is greater than 100/min. Digoxin is typically withheld if the heart rate is too low (bradycardia), not high. The nurse should follow specific parameters set by the healthcare provider, but a pulse greater than 100/min is not a standard reason to withhold digoxin.

D. Weigh the child once each month. In children with heart failure, daily weights are important to monitor fluid status and detect worsening heart failure. Monthly weighing is not frequent enough.

A. Provide balloons for play. Balloons are a choking hazard for toddlers and should be avoided.

B. Adjust the water heater temperature to 54° C (129.2° F). The recommended safe water heater temperature is around 49° C (120° F) to prevent burns. 54° C (129.2° F) is too high and poses a burn risk.

C. Place screens on all windows. While screens can prevent insects from entering, they do not provide enough protection to prevent a child from falling out. Window guards or stops are more appropriate for preventing falls.

D. Check clothing for loose buttons. Loose buttons can be a choking hazard for toddlers, so it is important to check and secure them properly to prevent accidental ingestion.