The nurse is preparing to administer two inhalations of ipratropium bromide (Atrovent). When providing this medication, the nurse will instruct the patient to (Select all that apply.)
a. hold the canister horizontally.
b. keep the eyes closed.
c. exhale through the mouthpiece.
d. wait 15 seconds before the second inhalation.
e. shake the canister thoroughly prior to use.
ANS: B, D, E
The eyes should be kept closed because temporary blurred vision may result if the aerosol is sprayed into the eyes. The patient should wait approximately 15 seconds and repeat the second inhalation. The canister should be shaken thoroughly prior to use. The base of the canister should be held vertically. The patient should inhale through the mouthpiece.
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