椎体多发性扁平，椎体前缘的中央部向前突如舌状，胸腰段椎体呈楔状变形，颅骨正常，蝶鞍不大，尿中出现硫酸角质素者，最不能的诊断是()

A．MPS-Ⅳ型-茂奎(Morquro)综合征

B．MPS-Ⅱ型-汉特(Hunter)综合征

C．MPS-Ⅲ-山菲利普(Sanfilippo)

D．MPS-IH型-胡勒(Hurler)综合征

E．MPS-IS型-布氏(Scheine)综合征

The nurse is caring for a client admitted to the emergency department after a motor vehicle accident. Under the law, the nurse must obtain informed consent before treatment unless（）

A. the client is mentally ill.

B. the client refuses to give informed consent.

C. the client is in an emergency situation.

D. the client asks the nurse to give substituted consent.