A School-Age Child with Asthma Is Seen for a Well

question 6

Multiple Choice

A school-age child with asthma is seen for a well child checkup and, in spite of "feeling fine," has pronounced expiratory wheezes, decreased breath sounds, and an FEV1 less than 70% of personal best. The primary care pediatric nurse practitioner learns that the child's parent administers the daily medium-dose ICS but that the child is responsible for using the short-acting beta2-agonist (SABA) . A treatment of 4 puffs of a SABA in clinic results in marked improvement in the child's status. What will the nurse practitioner do?

• A) Have the parent administer all of the child's medications.
• B) Increase the ICS medication to a high-dose preparation.
• C) Reinforce teaching about the importance of using the SABA.
• D) Teach the child and parent how to use home PEF monitoring.

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