Before handing the inhaler to Emily, what two things should Coach Kelly do? Select 2 answers.

In the context of using an inhaler, shaking the inhaler is an important first step because it ensures that the medication inside is mixed properly, allowing for an even distribution of the medicine when it is sprayed into the lungs. This is particularly crucial for metered-dose inhalers, where the propellant can settle, and shaking helps to ensure the correct dose is delivered effectively to the patient.

Removing the mouthpiece cover is also a necessary task before handing the inhaler to the individual. This step ensures that the inhaler is ready to be used and that there are no obstructions preventing the medication from being delivered properly. Both shaking the inhaler and removing the cover are essential preparatory steps for the effective use of the inhaler.

Attaching a spacer device, while helpful for some users as it can improve the delivery of medication, is not universally necessary and is not applicable if a spacer is not available. Asking Emily to take a deep breath is a subsequent step after using the inhaler, not a preparatory one, making it less relevant at this stage. Therefore, shaking the inhaler and removing the mouthpiece cover are the correct initial actions to ensure the inhaler is ready for use.