Which of the following clients with myasthenia gravis are at increased risk of developing pneumonia? Select all that apply.

67-year old client who has myasthenia gravis

Client who has a history of asthma Client who has AIDS

Client who was vaccinated for pneumococcus and influenza

Client who is postoperative and has received local anesthesia

Client who has a closed head injury and is receiving mechanical ventilation

Client who has dysphagia