Difficulty: Medium
Average Score: 63%
Simulated
The nurse is screening a client with a new prescription for beta blocker adrenergic propranolol [Inderal LA]. The nurse recognizes that this medication is contraindicated in the presence of which of the following conditions?
Correct answer
C
Rationale
The correct answer is C: Asthma. Propranolol is contraindicated in asthma because it can cause bronchospasm due to its non-selective beta-blocking effects on both beta-1 and beta-2 receptors in the lungs. This can worsen respiratory function and potentially lead to an asthma exacerbation. Angina (choice A) is often a reason for prescribing beta blockers. Tachycardia (choice B) can also be managed with beta blockers. Gout (choice D) is not a contraindication for propranolol use.