The nurse is caring for a patient who is prescribed diphenoxylate-atropine (Lomotil). Which assessment finding by the nurse indicates a need to contact the prescriber and question the order?
a. The patient has skin breakdown from loose stools
b. The patient is constipated with last BM 3 days ago
c. The patient is on a low-fiber, gluten-free diet
d. The patient has painful bleeding hemorrhoids
ANS: B
Lomotil is an anti-diarrheal medication. It should not be given to patients who are constipated because it will make it even more difficult for the patient to pass soft, formed stools. The other assessment findings are not contraindications to Lomotil.
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