An older adult client has been diagnosed with COPD. What characteristic of the client's current health status would rule out the safe and effective use of a metered-dose inhaler (MDI)

Feedback: Safe and effective MDI use requires the patient to be able to manipulate the device independently, which may be difficult if the patient has arthritis. Smoking does not preclude MDI use. A modest loss of vision does not preclude the use of an MDI and a patient can safely use more than one MDI.

Explanation: The use of an MDI has to be responsibly, properly, and safely

answer: apply a medicine

explanation:

answer:

i believe the answer is d).

explanation:

i think this is because you are tearing apart the muscle, and then when you eat, the muscle re-heals, making itself even stronger.

edit: i put b) before but i meant to put d). sorry for the incorrect answer.