Question

The client is prescribed albuterol 2 puffs as a metered-dose inhaler. Which action by the client demonstrates understanding of administration for this medication?

A) Positions the inhaler 2 finger widths away from the lips
B) Carefully holds the inhaler upright without shaking it
C) Holds the breath for 5 seconds after administering the medication
D) Immediately repeats the second puff after the first puff

Answer 1

Proper administration of albuterol using a metered-dose inhaler involves shaking the inhaler, exhaling, inhaling the medication slowly while pressing the inhaler, and holding the breath for 5 seconds afterward, with a one-minute wait before a second puff if needed.

Step-by-step explanation:

The correct action by a client that demonstrates understanding of how to administer albuterol via a metered-dose inhaler is C) Holds the breath for 5 seconds after administering the medication.

In this process, the client should shake the inhaler, exhale completely, put the inhaler in their mouth, and then press down on the inhaler to release the medication while taking a slow, deep breath in. Holding one's breath for approximately 5-10 seconds allows the medication to settle in the airways. It is also important to note that there should be about one minute between puffs if more than one puff is prescribed. This allows the first dose to settle before introducing the second dose.