A patient who was recently diagnosed with COPD comes to the clinic for a follow-up evaluation after ...

A patient who was recently diagnosed with COPD comes to the clinic for a follow-up evaluation after beginning therapy with a SABA as needed for dyspnea. The patient reports occasional mild exertional dyspnea but is able to sleep well.
 
  The patient's FEV1 in the clinic is 85 of predicted, and oxygen saturation is 96. The primary care NP should recommend: a. a combination LABA/ICS twice daily.
  b. influenza and pneumococcal vaccines.
  c. ipratropium bromide (Atrovent) twice daily.
  d. home oxygen therapy as needed for dyspnea.