Fast Questions and Case Study

A 40-year-old male client was brought to the emergency department by the client’s adult son due to severe weakness of the lower extremities. The client’s son reports that it started with tingling and numbness of lower extremities, but now the client’s weakness is moving to the upper body.  Client’s son also reports that about 6 weeks ago the client had flu-like symptoms such as general malaise, headache, runny nose, and fever. Client has no other medical history.  

Vital signs: Temperature 98.6° F, Pulse 86, Respiratory rate 12 regular but shallow, BP 110/52, Pulse oximetry 89% on room air. 

Client opens eyes to name but appears confused.  Lungs sounds diminished bilaterally.  S1,S2, no murmurs. CPF < 3 seconds.  All peripheral pulses palpable. Upper extremities strength 3/5 and lower extremity strength 2/5.