Shock States and Fluid Resuscitation · NCLEX Exam

In a patient with obstructive shock, which additional intervention is required besides fluid resuscitation?

  1. Administer large-volume IV fluids as the sole intervention
  2. Relieve the obstruction (e.g., needle decompression)
  3. Start antihypertensive medications to lower the blood pressure
  4. Give hypertonic saline in an attempt to reverse the obstruction
Show answer and explanation

Correct answer: Relieve the obstruction (e.g., needle decompression)

Obstructive shock stems from mechanical impediment to flow; addressing the obstruction (eg, pneumothorax, tamponade) is essential in addition to fluids.

Difficulty: Medium Question 12 of 18

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