What should be the nursing intervention if a patient reports discomfort during NIV?

When a patient reports discomfort during noninvasive ventilation (NIV), the most appropriate nursing intervention is to assess the fit of the mask and provide supportive measures, adjusting settings as necessary. Proper mask fit is crucial in ensuring that the therapy is effective and comfortable for the patient. A poorly fitting mask can lead to discomfort, skin irritation, and inadequate ventilation. By checking the mask fit, the nurse can identify issues such as leaks or pressure points that could be contributing to the patient's discomfort.

Additionally, providing supportive measures may involve adjusting the pressure settings of the NIV to improve comfort and patient acceptance. Patients responding poorly to the mask or feeling claustrophobic may benefit from an evaluation of their comfort levels and any modifications to the interface or ventilation settings.

This approach allows for a continuous assessment of the patient's needs while also avoiding unnecessary escalation to invasive ventilation, which carries greater risks and may not be warranted if the discomfort can be managed through noninvasive means. Pain medication is also not the first-line solution, as it does not address the underlying cause of discomfort related to the NIV equipment. Assessing the patient’s mental state, while important in certain contexts, does not specifically resolve discomfort related to NIV.