Obstructive Shock

Answer before reading. 1. A hypotensive client has distended neck veins and lungs that sound clear throughout. Does that combination make fluid overload the likely problem, or does it point somewhere else entirely? 2. Why might giving a large fluid bolus fail to help, or actively harm, a client in this form of shock? 3. A client on positive-pressure ventilation becomes abruptly hypotensive with absent breath sounds on one side. What single intervention would you expect to reverse it? Keep your answers for the closing section, where each is scored against the mechanism rather than against a memorized rule.