患儿，1岁，发热、咳喘6天，一天来呼吸困难。查体：患儿精神差，呼吸困难，听诊右肺呼吸音消失，叩诊右胸上方过清音，下方浊音

可能性最大的诊断是（）。

A.支气管肺炎

B.支气管哮喘

C.肺炎合并心力衰竭

D.肺炎合并脓气胸

E.心肌炎

A 40-year-old client is admitted to the psychiatric emergency department because of sleeping difficulty, poor judgment, and incoherent at times. The client’s speech is rapid and loose. She reports being a special messenger from the Messiah. She has a history of depressed mood for which she has been taking an antidepressant. Which diagnosis would the nurse suspect（）

A. Schizophrenia.

B. Paranoid personality.

C. Bipolar illness.

D. Obsessive-compulsive disorder (OCD).