The nurse is teaching a client on the proper technique to use an inhaler with a spacer for asthma management. Which action by the client would require intervention by the nurse?

  • The client shakes the unit vigorously 3 or 4 times.
  • The client places the inhaler over his tongue and seals his lips tightly around it.
  • The client administers the next puff immediately after exhaling.
  • After administering the dose, the client keeps his lips closed and holds his breath for at least 10 seconds before exhaling.
Number 3 is correct.
Options 1, 2, and 4 describe the proper technique for use of an inhaler with a spacer. The client should wait at least 1 minute between puffs.