The nurse is providing patient education to a newly diagnosed asthmatic. The nurse provides the steps for proper use of a metered dose inhaler. Which of the following are the correct steps?


The patient should be instructed to:
1. Exhale completely
2. Place inhaler between open lips or about 2 inches from open mouth
3. Start inhaling, then press down on the canister while continuing to inhale
4. Hold for 10 seconds

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