The practical nurse (PN) is assisting the nurse with the admission physical assessment of a client diagnosed with pneumonia. Which symptom(s) is/are this client likely to exhibit? (Select all that apply.)

A. Ankle edema: Ankle edema is typically associated with fluid retention related to heart failure, kidney disease, or venous insufficiency. It is not a common symptom of pneumonia, which primarily affects the lungs and respiratory function. B. Lung crackles: Crackles are indicative of fluid or exudate in the alveoli, a hallmark finding in pneumonia. These abnormal lung sounds are detected on auscultation and reflect the inflammation and consolidation occurring in the lungs. C. Dyspnea: Shortness of breath occurs as pneumonia impairs gas exchange in the alveoli. Clients often experience increased work of breathing and a feeling of air hunger, particularly with exertion or in severe infection. D. Painful cough: A productive or dry cough can be painful due to irritation of the inflamed lung tissue and pleura. Coughing is a common symptom as the body attempts to clear secretions and pathogens from the respiratory tract. E. Bradycardia: Pneumonia is more often associated with tachycardia due to fever, hypoxia, or systemic infection. Bradycardia is uncommon and would generally indicate another underlying cardiac issue rather than the pulmonary infection itself.