A mother tells the school nurse that she is concerned over her daughter's use of an inhaler for asthmatic episodes.The daughter is taking amphetamine and dextroamphetamine (Adderall XR) for ADHD.The mother states that since beginning the Adderall,every time the daughter uses her inhaler,she gets very agitated,jittery,and anxious.Which response by the nurse is the most appropriate?
A) "Your daughter needs to see her primary care provider to have her asthmatic medication changed to another medication."
B) "Your daughter will need to discontinue her treatment for ADHD,as it is contraindicated with medications use to treat asthma."
C) "The Adderall should be discontinued during times of asthma exacerbation."
D) "Inhalers used for asthma tend to cause central nervous system stimulation,just as medications for ADHD do.Her symptoms are likely due to the additive effect of having both medications."
Correct Answer:
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