The nurse is observing as the client demonstrates the use of his metered-dose inhaler. The nurse identifies that further instructions are needed when the client does which of the following?
1. The client holds the inhaler upright and shakes for 3-5 seconds to mix the medication.
2. The client inhales slowly and deeply through the mouth while pressing down on the medication canister.
3. The client holds his breath for 7 seconds after he inhales the drug.
4. The client waits 30 seconds before the next inhalation.
4
Rationale: The client should wait 1-3 minutes before taking a second inhalation, if ordered, in order to allow the first inhalation of medication to be absorbed. All of the other options demonstrate correct technique.
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