A physician ordered a corticosteroid inhaler four puffs twice a day for a patient with asthma. Which of the following actions by the patient would indicate to the nurse that the patient needs further teaching?
  1. Pausing for one to two minutes between puffs
  2. Rinsing her mouth with water after inhaling
  3. Inhaling the medication slowly
  4. Taking four puffs in rapid succession
Explanation
Answer - D - Action by the patient that would indicate to the nurse that the patient needs further teaching is taking four puffs in rapid succession. The patient should be taught to inhale slowly and deeply through the mouth while pressing down on the inhaler and to continue to breathe in slowly and holding the breath for ten seconds, or as long as possible. The patient should wait at least one minute between puffs.
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