Which assessment findings would alert the nurse to an infant or child in heart failure? (Select All that Apply.)

A. Difficulty feeding → Infants with heart failure have poor feeding due to fatigue from increased cardiac workload. B. Tachypnea → Increased respiratory rate occurs due to pulmonary congestion and compensatory mechanisms. C. Wheezes or rales → Pulmonary congestion or fluid overload can cause adventitious lung sounds. D. Incorrect → Children with heart failure are often more comfortable sitting upright rather than lying flat (orthopnea). E. Edema in feet and legs → Right-sided heart failure leads to peripheral edema. F. Incorrect → Decreased urine output is common due to reduced renal perfusion. Increased urine output would not be expected.