Difficulty: Medium
Average Score: 91%
Simulated
A nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride PO 40 mg twice daily. Which of the following findings in the history should the nurse report to the provider?
Correct answer
A
Rationale
The correct answer is A: The client has a history of bronchial asthma. Propranolol is a non-selective beta-blocker that can cause bronchospasm in patients with asthma due to its effect on beta-2 receptors in the lungs. This can worsen asthma symptoms and potentially lead to a severe asthma attack. Therefore, the nurse should report this history to the provider to consider an alternative medication. Choices B, C, and D are incorrect as propranolol is commonly used in patients with hypothyroidism, hypertension, and migraine headaches, respectively, and these conditions are not contraindications for its use.