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A primary care NP is evaluating a patient who has COPD. The patient uses a LABA twice daily. The ...

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A primary care NP is evaluating a patient who has COPD. The patient uses a LABA twice daily. The ...

A primary care NP is evaluating a patient who has COPD. The patient uses a LABA twice daily. The patient reports having increased exertional dyspnea, a frequent cough, and poor sleep.

The patient also uses a short-acting -adrenergic agonist (SABA) five or six times each day. Pulse oximetry reveals an oxygen saturation of 92. The patient's FEV1/forced vital capacity is 65, and FEV1 is 55 of predicted. The NP should prescribe a(n): a. oral corticosteroid.
b. long-acting anticholinergic.
c. long-acting oral theophylline.
d. combination ICS/LABA inhaler.

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