A Primary Care NP Sees a Child with Asthma to Evaluate

A primary care NP sees a child with asthma to evaluate the child's response to the prescribed therapy.The child uses an ICS twice daily and an albuterol metered-dose inhaler as needed.The child's symptoms are well controlled.The NP notes slowing of the child's linear growth on a standardized growth chart.The NP should change this child's medication regimen to a:

A) combination ICS/LABA inhaler twice daily.
B) short-acting b2-agonist (SABA) with oral corticosteroids when symptomatic.
C) combination ipratropium/albuterol inhaler twice daily.
D) SABA as needed plus a leukotriene modifier once daily.