The nurse teaches the client about the use of a metered-dose inhaler (MDI) and spacer. The nurse evaluates that additional teaching is required when the client makes which statement?
1. "I need to follow the instructions about using the metered-dose inhaler (MDI)."
2. "I need to rinse my mouth each time after using the metered-dose inhaler (MDI)."
3. "I need to drink a lot of fluids while I am using the metered-dose inhaler (MDI)."
4. "I should keep the spacer moist between uses by storing it in a plastic zipbag."
Correct Answer: 4
Rationale 1: Following instructions indicates compliance with use of the metered-dose inhaler (MDI).
Rationale 2: Rinsing the mouth after using the metered-dose inhaler (MDI) is correct; it will help reduce oral absorption of the drug.
Rationale 3: Fluids are encouraged to liquefy pulmonary secretions when using the metered-dose inhaler (MDI).
Rationale 4: The spacer and inhaler should be rinsed with water and allowed to air-dry.
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