A 54-year-old woman is admitted to the hospital with an exacerbation of chronic obstructive…

A 54-year-old woman is admitted to the hospital with an
exacerbation of chronic obstructive pulmonary disease (COPD). She has a history
of smoking one and one-half pack of cigarettes per day for 32 years. She is
alert and oriented, and her respiratory rate is 32 breaths/min. On
auscultation, she has bilateral wheezes on inspiration and exhalation. Her
vital capacity (1.3 L) is greater than the predicted minimal volume for
effective incentive spirometry, but she is unable to take in a slow, deep
breath and hold it for longer than 5 seconds, which is the criterion sometimes
used for appropriate metered dose inhaler (MDI) use. What should the RT do now?

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