A primary care NP sees an adolescent patient for a hospitalization follow-up after an asthma ...

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.