A nurse is reviewing the medication administration records of four clients who have a prescription for morphine PRN. Which of the following findings should the nurse identify as a contraindication to this medication?

Rationale: A. Morphine is commonly prescribed postoperatively for pain management, so this is not a contraindication. B. Morphine slows gastrointestinal motility, which can worsen a paralytic ileus and lead to severe complications. This is a contraindication. C. Morphine is often used in myocardial infarction to relieve pain and anxiety and to reduce cardiac workload, so it is appropriate. D. While morphine should be used cautiously in patients with respiratory conditions, bronchitis with pleurisy is not an absolute contraindication. Monitoring respiratory status is required, but use may still be appropriate.