The nurse is caring for a client with a diagnosis of chronic obstructive pulmonary disease (COPD). The nurse received a new order for a metered-dose inhaler (MDI) and immediately notifies the health care provider because of which important finding?
A. The client has severe arthritis in both hands.
B. The client is a smoker.
C. Long-acting anticholinergic should be contraindicated in persons with COPD.
D. The client is hard of hearing.