What should the nurse teach a child about using an albuterol metered-dose inhaler for exercise-induced asthma?
a. Take two puffs every 6 hours around the clock.
b. Use the inhaler only when he is short of breath.
c. Use the inhaler 15 minutes before exercise.
d. Take one to two puffs every morning on awakening.
C
The appropriate time to use an inhaled beta2-agonist or cromolyn is before an event that could trigger an attack. Two puffs every 6 hours around the clock will not relieve exercise-induced asthma. Waiting until symptoms are severe is too late to begin using a metered-dose inhaler. One to two puffs every morning on awakening may be the child's usual schedule for medication. If exercise causes symptoms, additional medication is indicated.
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