Which functions are impaired due to a tension pneumothorax, causing respiratory distress and shock?

The correct answer focuses on the crucial roles of lung function and heart function in the context of a tension pneumothorax. When a tension pneumothorax occurs, air becomes trapped in the pleural space and exerts pressure on the lung and, more critically, on the mediastinum. This pressure compromises the ability of the lungs to expand, severely impairing their function and leading to respiratory distress. The compromised lung function results in decreased oxygenation of the blood, which can further lead to hypoxia.

Additionally, as the pressure increases in the thoracic cavity, it can also compress the heart and great vessels, impairing venous return to the heart. This can lead to decreased cardiac output and eventually result in shock. Thus, both lung function and heart function are critically impaired during a tension pneumothorax, which may lead to life-threatening consequences if not promptly addressed. This makes the choice highlighting lung and heart function accurate in describing the physiological impacts of this condition.