Question

You are a team leader RN working with a student nurse. The student nurse is to teach a patient how to use and MDI without a spacer. Put in correct order the steps that the student nurse should teach the patient.

A. Remove the inhaler cap and shake the inhaler
B. Open your mouth and place the mouthpiece 1 to 2 inches away
C. Tilt your head back and breathe out fully
D. Hold your breath for at least 10 seconds
E. Press down firmly on the canister and breathe deeply through your mouth
F. Wait at least 1 minute between puffs.

A, C, B, D, E, F.
A, C, B, E, D, F.
C, A, B, E, D, F.
C, A, B, D, E, F.

Answer 1

The proper sequence for a patient using an MDI without a spacer is to first remove the cap and shake the inhaler, then tilt the head back and exhale, place the mouthpiece, press the canister while inhaling deeply, hold the breath, and wait between puffs.

Step-by-step explanation:

As a team leader RN working with a student nurse, it is crucial to provide proper guidelines for teaching patients how to use a metered-dose inhaler (MDI) without a spacer. The correct order that the student nurse should teach the patient is:

• Remove the inhaler cap and shake the inhaler (A).
• Tilt your head back and breathe out fully (C).
• Open your mouth and place the mouthpiece 1 to 2 inches away (B).
• Press down firmly on the canister and breathe deeply through your mouth (E).
• Hold your breath for at least 10 seconds (D).
• Wait at least 1 minute between puffs (F).

The correct sequence is C, A, B, E, D, F, which ensures that the medication is properly inhaled and absorbed in the lungs.