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【单选题】
患者女,6个月,主因咳嗽,咳痰2天,喘息伴发绀1小时入院,入院体温37.9C,心率150次/分钟,呼吸68次/分钟,呼吸困难,口发绀,鼻扇,三凹征明显,双肺可闻及大量的细湿罗音,X片表示双肺大小不等的片状阴影。护士提出的最主要的护理问题是A.
体液不足
B.
活动无耐力
C.
低效性呼吸型态
D.
气体交换受损
E.
清理呼吸道无效
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