Which sequence of administration is correct for a client in acute asthma distress?

In the context of managing acute asthma distress, the correct sequence of administration begins with albuterol, a short-acting beta-agonist that provides immediate bronchodilation and rapid relief from bronchospasm. This is crucial during an asthma attack as it quickly opens the airways.

Following albuterol, salmeterol, which is a long-acting beta-agonist, can be used as part of the ongoing management plan after initial urgency is addressed, though it's commonly not utilized during acute episodes due to its slower onset compared to albuterol. Prednisone, a systemic corticosteroid, is then administered to reduce inflammation over a longer period and assist in controlling the underlying airway inflammation associated with an asthma exacerbation. Finally, gentamicin, an antibiotic, is not typically used as a first-line treatment in acute asthma distress but may be considered if there is a suspicion of secondary infection.

This sequence addresses immediate breathing difficulties first and then follows up with medications that control inflammation and long-term management, making it the most appropriate choice for a client in acute distress.