A nurse is administering an MDI with a spacer to a patient with COPD. Place the steps of the procedure in the correct order.1. Insert MDI into end of spacer.2. Perform a respiratory assessment.3. Remove mouthpiece from MDI and spacer device.4. Place the spacer mouthpiece into patient's mouth and instruct patient to close lips around the mouthpiece.5. Depress medication canister, spraying 1 puff into spacer device.6. Shake inhaler for 2 to 5 seconds.7. Instruct patient to hold breath for 10 seconds.8. Instruct patient to breathe in slowly through mouth for 3 to 5 seconds.

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