An adolescent is recovering from being burned in a house fir…

An adolescent is recovering from being burned in a house fire 5 days ago.  Vitals are: 101.8 degrees F, 136, 30, 80/50 95% RA.  The adolescent is lethargic and agitated.  The nurse notes the patient’s disorientation has became worse compared to earlier in the shift. What does the nurse anticipate the adolescent is experiencing?