Using a stepwise approach to managing asthma, a nurse teaches a patient who is at step 1 to use albuterol MDI [Proventil] at which of these times?
A. Whenever needed (PRN) as a quick-relief agent
B. Twice daily combined with an inhaled glucocorticoid
C. Only with a long-acting beta2 agonist (LABA)
D. If nighttime awakenings occur more than 2 days a week
Ans: A. Whenever needed (PRN) as a quick-relief agent
Explanation: For patients at step 1 in the stepwise approach to managing asthma, albuterol is a short-acting beta2 agonist (SABA) used only PRN to relieve ongoing asthma attacks and prevent exercise-induced bronchospasm. For patients at step 1, no long-term control medications are taken. A patient is at a higher step than 1 in the stepwise approach if the patient requires a daily inhaled glucocorticoid or LABA or awakens at night more often than 2 days a week. For patients at steps 2 to 6, albuterol is considered a quick-relief medication taken PRN.
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