Final answer:
The correct statement reflecting effective nursing teaching for using two inhalers is "I must wait at least 1 full minute between inhalers." This ensures proper timing and effectiveness of the medication administered.
Step-by-step explanation:
The correct answer to the question which client statement reflects that nursing teaching has been effective is option b) "I must wait at least 1 full minute between inhalers." This instruction is important to ensure that the medication from the first inhaler has enough time to take effect before the second medication is administered. For patients using two different inhalers, it's common practice to wait around 1 minute between the use of each inhaler to allow the first medication to begin its action and to avoid mixing the effects of both medications abruptly.
Statement c) "I will wash the holder in warm water mixed with 1 tablespoon of bleach," while related to maintaining cleanliness and hygiene of the inhaler, does not reflect the teaching related to the usage and timing between different inhalers. Statement a) "I will breathe in for about 10 seconds, and exhale quickly," is not the correct method of inhalation as it doesn't specify the controlled breathing necessary for inhaler use. Statement d) "I should be careful to refrain from shaking the canisters of medication," is incorrect because usually you are required to shake the canister before use to mix the medication properly.