A nurse is assessing a client who has delirium as a result of sepsis. Which of the following manifestations should the nurse expect? (Select all that apply).

A. Slow speech. Clients with delirium typically exhibit disorganized, incoherent, or rapid speech rather than slow speech. Their communication may fluctuate along with their mental status changes. B. Rapid mood changes. Delirium is characterized by sudden mood shifts, including agitation, anxiety, or emotional instability. A client may appear calm one moment and extremely irritable or fearful the next. C. Hallucinations. Visual and auditory hallucinations are common in delirium, especially in cases related to infection, substance withdrawal, or metabolic imbalances. Clients may see things that aren’t there or misinterpret sensory input. D. Unaltered level of consciousness. Delirium involves fluctuations in consciousness, meaning the client’s awareness may shift from alert to drowsy or confused throughout the day. Unlike dementia, which causes gradual cognitive decline, delirium results in acute, noticeable changes in mental status. E. Restlessness. Clients with delirium often exhibit restlessness, agitation, and hyperactivity due to confusion and disorientation. They may have difficulty staying still and may wander or pull at IV lines.