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An NP Orders an Inhaled Corticosteroid 2 Puffs Twice Daily

Question 6

Multiple Choice

An NP orders an inhaled corticosteroid 2 puffs twice daily and an albuterol metered-dose inhaler 2 puffs every 4 hours as needed for cough or wheezing for a 65-year-old patient with recent onset of reactive airways disease who reports symptoms occurring every 1 or 2 weeks.At a follow-up appointment several months later,the patient reports no change in frequency of symptoms.The NP's initial action should be to:


A) order spirometry to evaluate pulmonary function.
B) prescribe a systemic corticosteroid to help with symptoms.
C) ask the patient to describe how the medications are taken each day.
D) give the patient detailed information about the use of metered-dose inhalers.

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