The nurse instructs a client on how to correctly use an inhaler with a spacer. In which order should these steps occur?
1. "Press down firmly on the canister to release one dose of medication."
2. "Breathe in slowly and deeply."
3. "Shake the whole unit vigorously three or four times."
4. "Insert the mouthpiece of the inhaler into the nonmouthpiece end of the spacer."
5. "Place the mouthpiece into your mouth, over the tongue, and seal your lips tightly around the mouthpiece."
6. "Remove the mouthpiece from your mouth, keep your lips closed, and hold your breath for at least 10 seconds."
a.
2, 3, 4, 5, 6, 1
b.
3, 4, 5, 1, 6, 2
c.
4, 3, 5, 1, 2, 6
d.
5, 3, 6, 1, 2, 4
ANS: C
The proper order for correctly using an inhaler with a spacer is as follows. Insert the mouthpiece of the inhaler into the nonmouthpiece end of the spacer. Shake the whole unit vigorously three or four times. Place the mouthpiece into the mouth, over the tongue, and seal the lips tightly around it. Press down firmly on the canister of the inhaler to release one dose of medication into the spacer. Breathe in slowly and deeply. Remove the mouthpiece from the mouth, and, keeping the lips closed, hold the breath for at least 10 seconds. Then breathe out slowly. Wait at least 1 minute between puffs.
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