Author Question: A nurse is assigned to care for a 53-year-old client who is to receive glycopyrrolate as a ... (Read 23 times)

jace · **on:** Jul 23, 2018

A nurse is assigned to care for a 53-year-old client who is to receive glycopyrrolate as a preanesthetic drug. The nurse reviews the client's history for which of the following that would contraindicate the use of this drug?

A) Diabetes
B) Hypotension
C) Respiratory problems
D) Myocardial ischemia

Question 2

A client is prescribed preanesthetic drugs prior to surgery. Which of the following nursing interventions should the nurse perform when caring for this client before the administration of preanesthetic drugs?

A) Explain postoperative client activities.
B) Check the client every 5 to 15 minutes.
C) Assess the respiratory status of the client.
D) Admit the client to an appropriate unit.

Missbam101 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: D
Feedback:
The nurse should confirm that the 53-year-old client does not have myocardial ischemia to ensure that the use of glycopyrrolate is not contraindicated. The other conditions that contraindicate the drug's use include prostatic hypertrophy and glaucoma. Diabetes, hypotension, or respiratory problems are not contraindications for the use of glycopyrrolate.

Answer to Question 2

Ans: A
Feedback:
When caring for a client prescribed preanesthetic drugs, the nurse should demonstrate, describe, and explain postoperative client activities, such as deep breathing, coughing, and leg exercises. The nurse should check the client every 5 to 15 minutes for emergence from anesthesia, but this is done after the administration of anesthesia, not before. Assessing the respiratory status of the client and admitting the client to an appropriate unit are both postoperative interventions that a nurse should perform. Therefore, these are not performed before the administration of preanesthetic drugs and anesthesia.