A nurse is assisting with the care of a preschooler who sustained a major burn injury 5 days ago. Which of the following findings should the nurse identify as a manifestation of sepsis?

A. Hyperactive bowel sounds is incorrect. Sepsis is often associated with decreased gastrointestinal motility, leading to hypoactive or absent bowel sounds rather than hyperactivity. B. Disorientation is correct. Mental status changes, such as confusion, irritability, or disorientation, can be an early sign of sepsis due to systemic infection and inadequate oxygenation. C. Hypoglycemia is incorrect. Sepsis is more commonly associated with hyperglycemia due to the body's stress response. However, prolonged sepsis and organ dysfunction can eventually lead to hypoglycemia in later stages. D. Polyuria is incorrect. In sepsis, fluid shifts and decreased organ perfusion often lead to oliguria (decreased urine output), not increased urination.