Which of the following clients is at risk for developing acute respiratory failure?
A) A middle-aged male diagnosed with amyotrophic lateral sclerosis (ALS) who has pneumonia with low O2 saturation
B) An elderly female living in senior housing who has been exposed to a "cold" while her grandchildren visited
C) A teenager in a high school that has had an increase in student absences due to an outbreak of strep throat
D) A toddler in daycare who has been sharing toys with peers before the staff could sanitize properly
Ans: A
Feedback:
Acute respiratory failure may occur in previously healthy persons as the result of acute disease or trauma involving the respiratory system, or it may develop in the course of a chronic neuromuscular or lung disease. ALS is a neurodegenerative disease with various causes. It is characterized by rapidly progressive weakness due to muscle atrophy and muscle spasticity and difficulty in speaking (dysarthria), swallowing (dysphagia), and breathing (dyspnea). A common cold, strep throat, or sharing toys in daycare will not necessarily place one at risk for respiratory failure.
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