Read the Following Health Record Excerpt

Read the following health record excerpt. Emergency Department Course:
Elizabeth arrived in the ED lethargic but responsive. Given her history and vomiting, we were concerned about diabetic ketoacidosis. The patient's finger stick blood sugar test result of 320 confirmed hyperglycemia, and a urinalysis revealed both glucosuria and ketonuria. An IV was started and labs were sent for review. Chemistry profile showed hypernatremia, hypokalemia, and acidemia. The pediatric intensive care team was contacted for patient transfer to the PICU.
Disposition: Transfer to PICU.
According to this excerpt, when Elizabeth arrived at the ED, she was:

A) A&O x3.
B) did not look very sick and was able to answer questions and interact with health care professionals.
C) did not look very sick but acted very sick.
D) looked sick and was unable to answer questions or interact with health care professionals.
E) looked sick but was alert.