A mother complains to the nurse that her 4-year-old son often lies. What’s the nurse’s best response

A. Let the child know that he’ll be punished for lying.
B. Ask him why he isn’t telling the truth.
C. It’s probably due to his vivid imagination and creativity.
D. Acknowledge him by saying, "That’s a pretend story. "

男，40岁，农民。近20余天来感胸闷、气促进行性加重，端坐呼吸，食纳差，腹胀，少尿。查体：T38.3℃，p100次／分，BP90/75mmHg，R34次／分，半卧位，口唇发绀，呼吸急促，颈静脉怒张，右下肺呼吸音减弱，叩诊浊音，心界横向扩大，随体位改变而变化，心音遥远，肝肋下4.0cm，移动性浊音（+），双下肢中度凹陷性水肿。

该患者最有可能的诊断是（）

A.肺心病

B.自发性气胸

C.病毒性心肌炎

D.心包炎

E.肝硬化