Answer:D. Ineffective breathing pattern, related to alveolar hypoventilation
Explanation:
Chronic obstructive pulmonary diseases is a respiratory disorder of the lungs with difficulty with breathing , if an individual has either emphysema, refractory asthma, chronic bronchitis.
If the alveolar is damaged as in emphysema,oxygen can not be absorbed from the lungs, and it , stretched to take in oxygen. The lungs lost it elastic recoil and air is trapped in it
This leads to shortness of breath, and weakness. The weight loss is due to apoptosis of skeletal muscles, in limited oxygen supply.