A nurse is collecting data from a child who has sickle cell anemia and is experiencing a vaso- occlusive crisis. Which of the following findings should the nurse expect?

Choice A: Teaching the child to swim does not eliminate the risk of accidental drowning. While swimming skills are important, they cannot guarantee that a child will not drown, especially if they are unsupervised or encounter an unexpected situation in the water.
Choice B: An adult should remain within arm's reach of the child when near water. Constant supervision is crucial because toddlers can move quickly and may not understand the dangers of water. Being within arm's reach allows the adult to react immediately if the child is in distress.
Choice C: Most incidents of accidental drowning do not necessarily occur in ponds or lakes; they can happen in any body of water, including home swimming pools, bathtubs, and even buckets. Therefore, vigilance is required around all water sources.
Choice D: Placing a fence around a pool can help prevent accidental drowning, but it does not ensure the safety of the child. A fence is a barrier but not a substitute for active supervision. It's also important that the fence is properly maintained and secured.

Choice A reason:

Children with attention deficit hyperactivity disorder (ADHD) benefit from frequent breaks in activities. Short, focused periods of activity followed by breaks can help them maintain attention and focus.

Choice B reason:

While providing long-term goals is important for building self-esteem, it may not directly address the child's learning style associated with ADHD.

Choice C reason:

Administering medication at bedtime may not be the most effective timing for managing ADHD symptoms. The timing and dosing of ADHD medications should be discussed with the child's healthcare provider.

Choice D reason:

Children with ADHD benefit from consistent routines rather than constantly changing ones. A predictable routine can help them feel more organized and focused.