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【单选题】
患者男,70岁。有慢性阻塞性肺疾病10年。1受凉后出现咳嗽.咳痰,乏力。查体:发绀,颈静脉怒张,双肺有散在湿哕音。心率116次/分,律齐,肝颈静脉回流征阳性,双下肢可见明显的凹陷性水肿。该患者首要的护理问题是
A.
体液过多
B.
活动无耐力
C.
睡眠型态紊乱
D.
清理呼吸道无效
E.
气体交换受损
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