患者,女,76岁,高血压30年,慢性衰竭5年,半天来与家人争吵后心悸、气短, 咳粉红色泡沫痰,急诊人院。体检:BP / 60mmHg, R 28次/分,神清,端坐位,口唇发绀,两肺湿啰音及哮鸣音。目前患者的主要护理诊断是: ‘
A.
体温过高
B.
焦虑
C.
气体交换受损
D.
营养失调:低于机体需要量
E.
活动无耐力
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