(D) In severe cases of $Pneumonia$,the alveoli get filled with fluid leading to severe problems in respiration. As a result,the exchange of gases is s

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(D) In severe cases of $Pneumonia$,the alveoli get filled with fluid leading to severe problems in respiration. As a result,the exchange of gases is severely impaired,leading to a decrease in blood oxygen levels. This lack of oxygen causes the lips and fingernails to turn gray to bluish in color.