What Are Signs of Respiratory Distress in a Near-Drowning Patient

What are signs of respiratory distress in a near-drowning patient
I.Pink frothy sputum
II.Serosanguineous fluid in the lung
III.Coughing
IV.Wheezing
V.Atelectasis
VI.Paradoxical breathing
VII.Asymmetric breath sounds

A) I, II, IV, VI, and VII
B) III, IV, V, and VII
C) I, II, III, V, and VII
D) I, II, III, IV, V, and VI