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

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.