The following assessment data has been obtained. A diagnosis of ARDS is made. Culture and sensitivity reports on wound drainage indicate gram negative bacilli. By the sixth post-op day, Mr. Robert's condition continues to deteriorate. His skin is cool, mottled and moist.
Sclera are yellow-tinged.
He is no longer responsive to stimuli. Breath sounds reveal crackles throughout all fields. Abdomen is grossly distended and bowel sounds are absent. Support your answer with the data provided for day 6. Support your answer with the data from day 6.