The nurse is providing education to a patient who has just been prescribed an albuterol (Proventil) inhaler, 2 puffs every 4 to 6 hours when needed. The nurse correctly teaches the patient that albuterol should be administered

a. as prophylaxis for asthma.
b. by taking 1 puff, waiting 5 minutes, then taking another puff.
c. by taking 1 puff, waiting 1 full minute, then taking another puff.
d. by means of a nebulizer and spacer.


C
When 2 puffs are needed, an interval of 1 minute or longer should separate them. During this in-terval, some bronchodilation develops, which facilitates penetration of the second puff.
Albuterol is not indicated for prophylaxis. It is short acting and is used to relieve an acute attack
Waiting 5 minutes in between is necessary only when two different inhalers are used concur-rently.
The inhaler is not used with a nebulizer but may be used with a spacer.

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