Question 64 Back A 15-month-old child was brought to health center for growth and developmental check up . On examination, the infant can walk independently but cannot grasp of an object using thumbs and index finger. The child responds to a simple command like "wave bye bye". What was the most likely developmental problem of this child? a. Language developmental problem b. Fine motor developmenta problem c. Cognitive developmental problem d. Emotional developmental problem A 24-year-old client was admitted to an emergency department with diagnosis of an acute pulmonary edema. On physical examination, the client was unconscious and had snoring. Patient's temperature is 37.8 degree centigrade, pulse rate is 102/min respiratory rate is 28b/min and blood pressure was 130/90mmHg . What is the most appropriate priority nursing diagnosis for intervention? a. Fluid volume deficit related to road traffic accident b. Fluid volume excess related to disturbed blood circulation c. Risk for aspiration related to altered level of consciousness d. Ineffective airway clearance related to altered level of consciousness

Question

Question 64 Back A 15-month-old child was brought to health center for growth and developmental check up . On examination, the infant can walk independently but cannot grasp of an object using thumbs and index finger. The child responds to a simple command like "wave bye bye". What was the most likely developmental problem of this child? a. Language developmental problem b. Fine motor developmenta problem c. Cognitive developmental problem d. Emotional developmental problem A 24-year-old client was admitted to an emergency department with diagnosis of an acute pulmonary edema. On physical examination, the client was unconscious and had snoring. Patient's temperature is 37.8 degree centigrade, pulse rate is 102/min respiratory rate is 28b/min and blood pressure was 130/90mmHg . What is the most appropriate priority nursing diagnosis for intervention? a. Fluid volume deficit related to road traffic accident b. Fluid volume excess related to disturbed blood circulation c. Risk for aspiration related to altered level of consciousness d. Ineffective airway clearance related to altered level of consciousness

Answer 1

Question 64:The correct answer is b. Fine motor developmental problem.Explanation: The child can walk independently but cannot grasp an object using thumbs and index finger, indicating a fine motor developmental problem. Fine motor skills involve the coordination of small muscles in movements—usually involving the synchronization of hands and fingers—with the eyes. This is crucial for tasks such as grasping objects, writing, and other fine motor activities. The child's ability to respond to simple commands like "wave bye bye" suggests that the language and cognitive development are not as severely affected as the fine motor skills.Question 65:The correct answer is c. Risk for aspiration related to altered level of consciousness.Explanation: The patient is unconscious and has snoring, which are signs that the airway may be compromised. The priority nursing diagnosis should address the immediate risk to the patient's airway and breathing. While fluid volume excess and ineffective airway clearance are also concerns, the risk for aspiration due to an altered level of consciousness is the most immediate and critical issue that needs to be addressed to prevent further complications such as pneumonia or respiratory failure.

Question

Solution

Resposta