When administering narcotics, which side effect must the nurse monitor for?

Monitoring for constipation is crucial when administering narcotics because these medications tend to slow down the gastrointestinal (GI) motility. Opioids, which include many narcotics, bind to receptors in the brain and spinal cord as well as the GI tract, leading to decreased peristalsis. This interaction can result in significant stool hardening and delay in bowel movements, making constipation a common and often severe side effect.

Additionally, this side effect can lead to discomfort and may complicate the patient's overall condition, especially if they are already ill or have other underlying health issues. Preventive measures, such as providing adequate hydration, increasing dietary fiber intake, or using laxatives as needed, are often necessary to combat this side effect. Thus, close monitoring for signs of constipation is essential to ensure the patient's comfort and overall well-being during narcotic therapy.