Question

A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label instructs the patient to administer 'two puffs every 4 hours as needed for coughing or wheezing.' The patient reports feeling jittery sometimes when taking the medication, and she doesn't feel that the medication is always effective. Which action is most appropriate?

1) Asking the patient to demonstrate the use of the inhaler
2) Assessing the patient's exposure to tobacco smoke
3) Auscultating lung sounds and obtaining vital signs
4) Suggesting that the patient use one puff to reduce side effects

Answer 1

The most appropriate action is to ask the patient to demonstrate the use of the inhaler to ensure correct usage, as improper technique can affect medication efficacy and side effects.

Step-by-step explanation:

The most appropriate action is asking the patient to demonstrate the use of the inhaler. This ensures the patient is using the device correctly, which is crucial for the medication to be effective. Moreover, improper technique can lead to less medication reaching the lungs, resulting in reduced efficacy and increased side effects like jitteriness. Auscultating lung sounds and obtaining vital signs are important but would not directly address issues with inhaler technique.

Assessing tobacco smoke exposure is relevant for overall asthma management but does not directly address the current concern. Suggesting a dose reduction without assessing use may not address the problem if the technique is incorrect.