The nurse is caring for a client with an order for an opiate antidiarrheal medication. Which finding should cause the nurse to hold the scheduled dose?
Explanation & Rationale
A. The client is receiving intravenous morphine: Administering an opiate antidiarrheal in combination with IV morphine can increase the risk of additive central nervous system and respiratory depression. Holding the dose prevents potential toxicity from overlapping opioid effects. B. The client reports abdominal cramping: Mild abdominal cramping may be a symptom of diarrhea itself and does not contraindicate the use of an antidiarrheal. The medication can still be given unless other signs of obstruction or severe pain are present. C. The client is experiencing liquid stools: Liquid stools indicate ongoing diarrhea, which is the therapeutic target for the medication. The presence of diarrhea alone does not necessitate holding the dose. D. The client is currently taking PO warfarin: Opiate antidiarrheals do not significantly interact with warfarin. Anticoagulation therapy is not a contraindication to administration.