The nurse is caring for a patient with asthma. She is instructing the patient on proper use of a spacer device. Which of the following statements by the patient indicates the need for additional teaching?


•A spacer may eventually lead to a decreased need and therefore lead to a change in dosage or frequency, but this outcome is not instantaneous. The patient should never alter the dosage or frequency without first consulting the physician.

•Spacers reduce the risk of yeast infections because the droplets are not deposited in the mouth.

•The spacer allows for even distribution of the medication and reduces the coordination required for inhalers without a spacer.

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