Which of the following is NOT a contraindication for CPAP use?

The correct selection highlights that severe respiratory distress is not a contraindication for the use of Continuous Positive Airway Pressure (CPAP). In fact, CPAP is often indicated for patients experiencing significant respiratory distress, particularly those with conditions such as congestive heart failure, pulmonary edema, or obstructive sleep apnea. The primary goal of CPAP is to improve oxygenation and minimize the work of breathing, making it a valuable treatment for patients who present with this level of respiratory distress.

In contrast, other choices reflect situations where CPAP should generally be avoided. An asthma exacerbation may lead to upper airway obstruction and increased work of breathing, potentially making CPAP inappropriate in certain scenarios. A tracheostomy implies that conventional positive pressure ventilation methods might not be suitable, as CPAP is not designed to be applied through a tracheostomy tube. Similarly, the inability to sit upright can hinder effective CPAP delivery, as the treatment often depends on gravity and positioning to optimize airway patency. Thus, severe respiratory distress aligns with scenarios where CPAP can be beneficial, while the other options involve conditions that typically warrant caution or avoidance of CPAP therapy.