The nurse would question a prescription for the preoperative use of glycopryrrolate in a client:
a. with diabetes mellitus. c. who will receive general anesthesia.
b. undergoing urinary tract surgery. d. undergoing open-heart surgery.
ANS: D
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A Incorrect: This drug is not contraindicated for this client; however, glucose levels should be monitored.
B Incorrect: This is not a contraindication for the use of glycopryrrolate.
C Incorrect: This is an indication for the use of glycopryrrolate.
D Correct: Because of the tachycardia associated with anticholinergics and that this would delay the stopping of the heart for this surgery, glycopryrrolate is contraindicated.
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