Which symptom would most likely be seen in a client who has a disseminated infection associated with histoplasmosis?

In a client with disseminated histoplasmosis, dyspnea is a common and significant symptom. Histoplasmosis is a fungal infection caused by the inhalation of spores from the organism Histoplasma capsulatum. When the infection spreads beyond the lungs, it can affect various organs and lead to systemic manifestations, including respiratory difficulties.

Dyspnea can occur due to pulmonary involvement, where the lungs become inflamed and filled with infectious organisms, leading to reduced oxygen exchange and breathing problems. The immune response to the infection can also contribute to fluid accumulation in the lungs, further worsening dyspnea.

The other symptoms listed, although they can be associated with different conditions, are not the most characteristic of disseminated histoplasmosis. Hypotension may be seen in severe infections but is not specific to histoplasmosis, jaundice is more related to liver involvement from other conditions, and bradycardia is typically not a symptom associated with this fungal infection. Therefore, dyspnea stands out as a key symptom in this clinical context, making it the most likely answer.