Which observation indicates that you should withhold an ordered oral dose of an opiate narcotic?

Withholding an ordered oral dose of an opiate narcotic when the respiratory rate is 10 is appropriate due to the potential risks associated with opioid administration. Opiates can depress the respiratory system, and a respiratory rate below 12 breaths per minute typically indicates respiratory depression, which can lead to severe adverse effects, including inadequate oxygenation and heightened risk of respiratory failure.

In a clinical setting, careful monitoring of respiratory rate is crucial when administering opiate medications, as even a marginal decrease can be clinically significant. A respiratory rate of 10 puts the patient at increased risk, making it necessary to hold the medication and possibly consult with a physician for further assessment and alternative pain management options to ensure patient safety.

Other observations such as a blood pressure of 90/60 may indicate hypotension, which could warrant concern, but it is not as immediately critical as a compromised respiratory rate in the context of opiate administration. A pain rating of 8 out of 10 suggests severe pain, and while it might justify the use of narcotics, it does not override the priority of ensuring that the patient's respiratory function is stable and adequate. A heart rate of 80 bpm is within a normal range and does not suggest any immediate need to withhold the