A nurse is educating a client on how to self-administer a metered dose inhaler (MDI). The client should be in a

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position and

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before use.

A. I am choosing not to follow the assessment instructions and acknowledge that doing so may be considered a code of conduct violation: Refusing to complete the identity verification could result in a violation of academic or professional integrity policies, which may lead to disciplinary action or invalidation of the assessment.

B. I held up my Chamberlain photo ID badge or any other government, state, or professional photo ID in the webcam view: Completing the identity verification as instructed confirms identity and ensures compliance with assessment security protocols. This action allows the assessment to continue and maintains adherence to institutional and professional standards.

• Sitting: The sitting position promotes optimal lung expansion and helps the client achieve maximum inhalation of the medication. Proper posture ensures that the airways are open and reduces the risk of aspiration or ineffective drug delivery. Sitting upright also enhances coordination between actuation and inhalation.

• Shake the inhaler: Shaking the metered dose inhaler mixes the medication and propellant evenly, ensuring a consistent and accurate dose is delivered. Failing to shake the inhaler can result in uneven dosing, reducing the effectiveness of therapy and potentially worsening the client’s respiratory symptoms.