A nurse is caring for a child who is suspected of having pertussis. The nurse should recognize that the pathophysiology of pertussis includes which of the following? (Select All that Apply.)

The infection mainly affects the nostrils.

The infection is viral in nature.

The toxins released by the bacteria attack epithelial cell cilia.

The lungs and airway become inflamed.

Secretions are produced and are challenging to expel.