Which statement made by the patient with chronic obstructive pulmonary disease copd indicates a need for further teaching regarding the use of a ipratropium inhaler?

"If my breathing gets worse, I should keep taking extra puffs of the inhaler until i can breathe more easily"

Explanation:

For the patient to make this statement, it shows that he or she have no knowledge of the use of ipratropium inhaler. This inhaler is expected to be used twice daily or in worse cases 3 to 4 times a day. Hence, the patient taking extra puffs of the inhaler instead of carrying out several available steps capable of allowing patient breathe more easily simply shows a lack of knowledge.