A client with a history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed?

A. Ipratropium inhaler should be stored at room temperature, so this action is correct. B. Ipratropium inhalers typically require priming before first use or if they have not been used for a period, but the number of pumps needed may vary. Priming with 7 pumps is not standard for all inhalers and suggests the need for additional instruction. C. Using a spacer device with inhalers can enhance medication delivery and is an appropriate practice. D. Rinsing the mouth after using an inhaler helps prevent irritation and is a recommended practice.