Signs and symptoms of respiratory distress include all of the following EXCEPT ________.

In respiratory distress, the body typically exhibits a variety of signs and symptoms as it struggles to get enough oxygen. One of the critical indicators of respiratory distress is an abnormal respiratory rate, which can be either increased or decreased, depending on the individual's condition and the underlying cause.

The presence of a normal respiratory rate indicates that the individual is likely not experiencing respiratory distress, as this would typically involve either rapid or labored breathing. Signs such as increased heart rate, shortness of breath, and anxiety or restlessness are all common responses to low oxygen levels or difficulty breathing, reflecting the body's attempts to compensate for inadequate ventilation.

Thus, the notion that the individual can maintain a normal respiratory rate while also showing signs of distress contradicts the physiological responses expected in such situations. Hence, the correct option is indicative of a lack of respiratory distress and highlights the deviation from expected signs in cases of compromised breathing functionality.