The patient is admitted with a diagnosis of COPD,and the physician orders the patient to be placed on continuous noninvasive ventilation (NIV).The nurse realizes that the patient should:

Question

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When NIV is initiated,especially in patients with underlying COPD,it is important to obtain ABG levels after the first hour and every 2 to 6 hours during the first day because these patients may retain carbon dioxide.
A mask that is too tight increases the risk for skin breakdown over the bridge of the nose.
It is imperative that the mask have quick-release straps.In the case of an emergency (e.g.,vomiting,respiratory arrest),quick-release straps allow the mask to be removed quickly.This system also allows the patient to remove the mask quickly as needed.Observe for decreased anxiety,improved level of consciousness and cognitive abilities; decreased fatigue; absence of dizziness; decreased pulse,regular rhythm; decreased respiratory rate and work of breathing; return to normal blood pressure; and improved color.As hypoxia and hypercapnia are reduced or corrected,the patient's physical assessment parameters improve.

The Patient Is Admitted with a Diagnosis of COPD,and the Physician