Question 64 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 developmental 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

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Question 64 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 developmental 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

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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. This indicates a fine motor developmental problem, as the child is having difficulty with fine motor skills, which involve the coordination of small muscles, particularly in the hands and fingers. The child's ability to respond to a simple command like "wave bye bye" suggests that the language development is not the primary issue in this case.Question 65:The correct answer is d. Ineffective airway clearance related to altered level of consciousness.Explanation:The patient is unconscious and has snoring, which indicates a potential airway obstruction. The priority nursing diagnosis for intervention would be "Ineffective airway clearance related to altered level of consciousness." This diagnosis addresses the immediate concern of ensuring the patient's airway is clear and preventing aspiration, which is a critical issue in this scenario.

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