A Primary Care Nurse Practitioner (NP)is Evaluating a Patient with Asthma

A primary care nurse practitioner (NP) is evaluating a patient with asthma who reports having wheezing and coughing 1 or 2 days each week and awakening from sleep three or four times each month with asthma symptoms.The patient's forced expiratory volume in 1 second (FEV₁) is 80% of the predicted value.The patient's current medication regimen is an albuterol metered-dose inhaler,2 puffs every 4 hours as needed.The NP should prescribe:

A) montelukast (Singulair) po daily.
B) ipratropium bromide bid with albuterol.
C) a low-dose inhaled corticosteroid (ICS) , 2 puffs bid.
D) a long-acting b-adrenergic agonist (LABA) , 1 puff bid.

Correct Answer:

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