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a nurse is reinforcing discharge teaching with a 6 - year - old client who has asthma and several prescription medications using a metered dose inhaler (mdi). which of the following instructions should the nurse include in the teaching?
add a spacer to each mdi.
instruct the child to inhale more rapidly than usual when using an mdi.
request that the provider change the childs medications from inhaled to oral formulations.
administer oxygen by facemask along with the mdi.

Explanation:

Adding a spacer to a metered - dose inhaler (MDI) helps improve the delivery of medication to the lungs, especially in children. Rapid inhalation can cause the medication to deposit in the mouth rather than the lungs. Changing to oral formulations may not be necessary or as effective as inhaled medications for asthma. Administering oxygen by facemask along with MDI is not a standard instruction for using an MDI.

Answer:

A. Add a spacer to each MDI.