The home care nurse should instruct the client to use the metered-dose inhaler in the following manner:
1. The client should be assessed by the nurse to determine whether they are able to use the inhaler without assistance.
2. The nurse should remind the client that they will not be able to use the inhaler if they are unable to open the cap on their own, or if they have trouble sucking in enough air.
3. If these two steps have been taken, then the nurse should begin instructing them on how to hold and press down on the inhaler's button. They should explain how quickly this button must be pressed in order for it to properly deliver its medication into their lungs.
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