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 is annoyed because he already has an albuterol metered-dose inhaler (MDI) .The nurse's response to the client's concern is based on the knowledge that:

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