When caring for a client experiencing an acute asthma attack, the nurse should expect to administer a bronchodilator medication to help relieve bronchospasm and improve airflow. Based on the options provided, the appropriate medication for this situation is:
c. Levalbuterol
Levalbuterol is a short-acting beta-agonist bronchodilator commonly used for the treatment of acute bronchospasm in asthma attacks. It acts quickly to relax the smooth muscles in the airways and provide immediate relief of symptoms.
Cromolyn (option a) is a mast cell stabilizer used for the prevention of asthma symptoms and is not typically used for acute asthma attacks.
Budesonide (option b) is an inhaled corticosteroid that is effective for long-term control of asthma symptoms but is not typically used for immediate relief during an acute attack.
Ipratropium (option d) is an anticholinergic bronchodilator that can be used in the treatment of acute asthma attacks, but it is usually reserved as an adjunct medication when a beta-agonist alone is not providing sufficient relief.
Therefore, the most appropriate medication to administer during an acute asthma attack would be levalbuterol (option c). However, it is important to follow the specific protocols and orders of the healthcare provider in each individual case.