The primary health care provider prescribes pulse assessments through the night for a 12-year-old child with rheumatic fever who has a daytime heart rate of 120. The nurse explains to the mother that this is to evaluate if the elevated heart rate is caused by:
1. The morning digitalis.
2. Normal activity during waking hours.
3. A warmer daytime environment.
4. Normal variations in day and evening hours.
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