The nurse is teaching a 14-year-old child on the proper use of a meter-dose inhaler to control symptoms of asthma. Which teaching points should the nurse include in these instructions? (Select all that apply.)
A) Take two puffs at a time.
B) Shake the canister before using.
C) Wait 5 minutes between puffs.
D) Hold the breath for 5 to 10 seconds.
E) Activate the inhaler while taking a deep breath.
B, D, E
Feedback:
The nurse should instruct the child to shake the canister, exhale deeply, activate the inhaler while inhaling, take a long slow inhalation, and then hold the breath for 5 to 10 seconds. The child should be instructed to take only one puff at a time and to wait for 1 minute between puffs.
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