The Nurse Is Providing Serevent Diskus (Salmeterol) to a Patient

Multiple Choice

The nurse is providing Serevent Diskus (salmeterol) to a patient on the medical unit who has a long-term history of chronic obstructive pulmonary disease. The nurse would intervene if which of the following were observed?

A) The patient did not attach a spacer prior to inspiration.
B) The patient closes the device after inhalation without washing the mouthpiece.
C) The patient held the diskus level in a horizontal position.
D) The patient exhaled into the diskus device.