The nurse is teaching the client to use a metered-dose inhaler. Which information should the nurse provide to the client?
1. Take a deep breath, hold it, and then gently squeeze the inhaler to dispense the medication.
2. Take several slow deep breaths in through the nose and out through the mouth, then squeeze the inhaler while taking a deep breath.
3. Exhale comfortably, squeeze the canister to discharge the medication, and inhale slowly and deeply through the mouth, then hold the breath for 10 seconds, or as long as possible.
4. Exhale deeply, squeeze the canister to discharge the medication, and inhale slowly and deeply through the mouth, then hold the breath for 10 seconds, and exhale through the nose.
3
Rationale 1: The client should be taught to breathe normally, exhale comfortably, then take a deep slow breath through the mouth while dispensing the medication. Holding the breath for 10 seconds allows the medication to reach deeper airways. The client then breathes out through the mouth with the lips pursed.
Rationale 2: The client should be taught to breathe normally, exhale comfortably, then take a deep slow breath through the mouth while dispensing the medication. Holding the breath for 10 seconds allows the medication to reach deeper airways. The client then breathes out through the mouth with the lips pursed.
Rationale 3: The client should be taught to breathe normally, exhale comfortably, then take a deep slow breath through the mouth while dispensing the medication. Holding the breath for 10 seconds allows the medication to reach deeper airways. The client then breathes out through the mouth with the lips pursed.
Rationale 4: The client should be taught to breathe normally, exhale comfortably, then take a deep slow breath through the mouth while dispensing the medication. Holding the breath for 10 seconds allows the medication to reach deeper airways. The client then breathes out through the mouth with the lips pursed.
Global Rationale: The client should be taught to breathe normally, exhale comfortably, then take a deep slow breath through the mouth while dispensing the medication. Holding the breath for 10 seconds allows the medication to reach deeper airways. The client then breathes out through the mouth with the lips pursed.
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