Which of the Following Information Given by a Client with Asthma

Which of the following information given by a client with asthma while the nurse is doing the admission assessment is most indicative of a need for a change in therapy?

A) The client uses terbutaline before any aerobic exercise.
B) The client says that the asthma symptoms are worse every spring.
C) The client's heart rate increases after using the salbutamol inhaler.
D) The client's only medications are formoterol and salmeterol.