How can the nurse increase the comfort of a patient using noninvasive positive-pressure ventilation (NIPPV)?
a. Retape the tube to the opposite side of the mouth every 24 hours.
b. Use a skin barrier on the area where the mask comes in contact with the skin.
c. Remove the unit while the patient is sleeping.
d. Administer opioid analgesics.
ANS: B
Skin irritation can occur from the NIPPV mask; an adhesive skin barrier to the areas that come in contact with the mask can help prevent irritation. An endotracheal (ET) tube is in the mouth, not NIPPV. The unit should not be removed during sleeping—the patient may hypoventilate. Opioids can depress respirations and are used for severe pain, not skin irritation.
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