A nurse teaches a client about the use of a respiratory inhaler. Which action by the client indicated a need for further teaching?
A. Removes the cap and shakes the inhaler well before use.
B. Press the canister down with your finger as he breathes in.
C. Inhales the mist and quickly exhales.
D. Waits 1 to 2 minutes between puffs if more than one puff has been prescribed.
Correct Answer: C. Inhales the mist and quickly exhales.
Take the inhaler out of the mouth. If the client can, he should hold his breath as he slowly counts to 10. This lets the medicine reach deep into the lungs. The client should be instructed to hold his or her breath at least 10 to 15 seconds before exhaling the mist.
Option A: If the client has not used the inhaler in a while, he may need to prime it. See the instructions that came with the inhaler for when and how to do this. Shake the inhaler hard 10 to 15 times before each use.
Option B: Hold the inhaler with the mouthpiece down. Place lips around the mouthpiece so that the mouth forms a tight seal. As the client starts to slowly breathe in through the mouth, press down on the inhaler one time.
Option D: If using inhaled, quick-relief medicine (beta-agonists), wait about 1 minute before taking the next puff. You do not need to wait a minute between puffs for other medicines.
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