The nurse is performing a focused interview and eye assessment on a client. Which assessment findings indicate the client is experiencing a vision problem? (Select all that apply)

E Frowning and squinting while reading the Snellen chart B As the nurse checks for accommodation, the pupils remain dilated. D The client exhibits a symmetrical pupillary light reflex response. A As the nurse dims the lights in the room, the client's pupils dilate. C The clients far vision acuity is 20/20 bilaterally.