A Primary Care NP Sees an Adolescent Patient for a Hospitalization

A primary care NP sees an adolescent patient for a hospitalization follow-up after an asthma exacerbation.The patient reports having daily symptoms with nighttime awakening 4 or 5 nights per week and misses school several days each month.The patient currently uses a salmeterol/fluticasone LABA twice daily and albuterol as needed.The patient requires a refill of the albuterol prescription once a month.The patient does not have any known allergies.The NP should:

A) order a high-dose ICS plus a LABA twice daily.
B) consider adding theophylline to this patient's regimen.
C) continue the current regimen and add omalizumab daily.
D) order a combination product with ipratropium and albuterol.