A client with moderate and persistent asthma has obtained control with a formoterol inhaler qid for ...

Correct Answer: 3
Rationale 1: Clients sometimes develop tolerance to the beta-adrenergic binding effects of inhaled bronchodilators even when taking medication as directed.
Rationale 2: Clients sometimes develop tolerance to the beta-adrenergic binding effects of inhaled bronchodilators. Decreasing the dose may cause an exacerbation of symptoms.
Rationale 3: Clients sometimes develop tolerance to the beta-adrenergic binding effects of inhaled bronchodilators.
Rationale 4: The client may need an inhaled steroid but this would not account for why the current medication is not working.
Global Rationale: Drug tolerance is possible with the beta agonists and sympathomimetics. Decreasing the dose may cause an exacerbation of symptoms. The client may need an inhaled steroid but this would not account for why the current medication is not working.

Good timing, thanks!