A nurse is caring for a client who is receiving nebulized albuterol. Which of the following assessments should the nurse prioritize during and after the nebulization treatment?

A) Correct. Monitoring the client's heart rate during and after nebulized albuterol treatment is essential. Albuterol is a beta-2 adrenergic agonist that can stimulate the sympathetic nervous system, leading to an increased heart rate (tachycardia). Monitoring the client's heart rate allows the nurse to assess for any potential adverse effects and determine the effectiveness of the medication.

B) Incorrect. Capillary refill time is not directly related to nebulized albuterol treatment and does not require prioritization in this scenario.

C) Incorrect. Bowel sounds are not directly affected by nebulized albuterol and do not require prioritization in this case.

D) Incorrect. Urine output is not directly affected by nebulized albuterol and does not require prioritization in this scenario.

A) Correct. Metered-dose inhalers (MDIs) require the client to coordinate their breathing with inhalation. They release a measured dose of medication in aerosol form, and the client needs to inhale deeply at the same time to ensure the medication reaches the lungs. Dry powder inhalers (DPIs), on the other hand, do not require coordination of breathing and inhalation. The client simply needs to inhale forcefully to activate the powder dispersion.

B) Incorrect. MDIs contain a propellant that helps atomize the medication and facilitate its delivery into the lungs, but this is not the main difference between MDIs and DPIs.

C) Incorrect. DPIs deliver the medication in powder form, not mist form.

D) Incorrect. DPIs do not require the use of a spacer device, unlike MDIs, which can benefit from a spacer device to improve medication delivery.