[Expert Solution]: Client is a 9-year-old male who came to…

Client is a 9-year-old male who came to the emergency room (ER) today because of difficulty breathing. He has a history of asthma. He says that his chest feels tight and he is having trouble taking in a deep breath. He is accompanied by his father. History of Present Illness: The client was diagnosed with asthma at age 5 years. Father reports that client has had a “cold” for the last 3 days. Client has had to use his albuterol inhaler about every 4 hours at home, but father is concerned he is just not getting any better. Father reports the client has been waking up at least twice a night in “coughing fits” where he cannot catch his breath. Client has been taking budesonide twice a day as prescribed. Medical History: Diagnosed with asthma at age 5. Sees a pediatric pulmonologist for asthma management. No known medication or food allergies. Does have seasonal allergies to pollen. No other medical problems. Immunizations are up to date, except seasonal influenza shot. Social History: Lives with his father and stepmother. Two siblings. No pets. Is in the 3rd grade. Plays football and basketball. Physical Assessment: Client is awake and alert, sitting in the ER bed. Normal S1 and S2 sounds, no murmur. Normoactive bowel sounds. Expiratory wheezes heard bilaterally, prolonged expiratory phase. Mild intercostal retractions. Nonproductive, dry cough. Client coughing frequently. Pulses 2+ in all four extremities, capillary refill time less than 3 seconds. Moves all four extremities with adequate strength and tone. Pupils equal, round, reactive to light. Clear nasal discharge. Pharynx erythematous, but no purulent exudate seen. Medications: Albuterol 2 puffs (90 mcg each puff) every 4–6 hours as needed for asthma symptoms Budesonide 1 puff (180 mcg each puff) BID Nurses’ Notes Vital Signs Laboratory Results Question 5 of 6 In providing education to the father about medications used to treat asthma, the nurse understands that some medications are used for differing levels of asthma severity. Indicate below which medication belongs to which level of severity of asthma presentation. Select one option in each row.