A nurse is planning care for a client who has acute respiratory distress syndrome (ARDS). Which of the following changes should the nurse expect? (Select All that Apply.)

A. Muscle wasting ARDS often leads to prolonged ICU stay and catabolism, resulting in muscle loss. B. Fat accumulation Not an expected finding in ARDS; wasting is more likely. C. Cognitive loss Hypoxia and critical illness can result in lasting cognitive impairment. D. Functional impairment Long-term functional decline is common after severe ARDS. E. Weight gain Unlikely due to muscle wasting and poor intake; weight loss is more typical.