A Client in Acute Respiratory Distress on a Medical Unit

A client in acute respiratory distress on a medical unit is receiving a nebulizer albuterol treatment. The client asks why the medication is delivered by nebulizer instead of an MDI. What is the best response of the nurse?

A) "Nebulized therapy is more cost-effective in the inpatient setting."
B) "Suspension of the drug in liquid and delivery over a longer period increase the effectiveness."
C) "The nebulized form of the drug will have fewer negative effects on this distressed client."
D) "The anxious and dyspneic client is unlikely to be able to use a metered-dose albuterol inhaler effectively."