The nurse instructs a patient on the use of a metered-dose inhaler for asthma medications. To demonstrate understanding of the instructions, in which order should the patient self-administer this medication?
1. Rinse the mouth.
2. Exhale slowly and completely.
3. Shake the canister vigorously for 3 to 5 seconds.
4. Press and hold the canister down while inhaling deeply and slowly for 3 to 5 seconds.
5. Hold the breath for 10 seconds, release the pressure on the container, remove from the mouth, and exhale.
Correct Answer: 3, 2, 4, 5, 1
: The canister is shaken before the medication is administered. The patient exhales before administering the medication. The canister is pressed and held down while the patient inhales. This step takes 3 to 5 seconds. The breath is held for 10 seconds after the medication is administered. Then the pressure on the canister is released and the canister is removed from the mouth. The patient can then exhale. The mouth is rinsed after the medication is inhaled.
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