The Nurse Realizes That the Medication Tiotropium Bromide (Spiriva) Is

The nurse realizes that the medication tiotropium bromide (Spiriva) is contraindicated for a patient with chronic obstructive pulmonary disease (COPD) . What information in the patient's medical history led to this clinical decision?

A) The patient is being treated for glaucoma.
B) The patient uses a topical steroid for psoriasis.
C) The patient attends physical therapy three times a week.
D) The patient is taking medication for prostatic hypertrophy.
E) The patient limits the intake of dietary fats for weight loss.