A 73-year-old man with COPD is admitted to the emergency department for acute shortness of breath…

A 73-year-old man with COPD is admitted to the emergency
department for acute shortness of breath that is not relieved with rest. The
patient has been admitted more than eight times during the past year for
various respiratory problems. The patient’s physician thinks that this episode
may reflect a worsening of his disease process and orders an inhaled
bronchodilator via an MDI. After the RT enters the room and introduces herself,
the patient becomes quite defensive, stating that he does not need any
assistance with treatments and that she should just leave the medication in the
room. The RT has not treated the patient in the past and has to decide how to
respond to the patient’s request

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