A client who suffers from hypertension is prescribed propranolol. The nurse would educate the client on which side effects associated with this medication? (Select all that apply)

Choice A reason: Propranolol, a non-selective beta-blocker, can mask the symptoms of hypoglycemia, such as tachycardia, which can be dangerous for diabetic patients. Patients may not recognize they are experiencing low blood sugar, which can delay appropriate treatment. Therefore, educating patients about this risk is crucial, especially those with diabetes. Choice B reason: Bronchoconstriction is a significant side effect of non-selective beta-blockers like propranolol, especially for individuals with asthma or other respiratory conditions. Propranolol can block beta-2 receptors in the lungs, leading to narrowed airways and difficulty breathing. Patients with respiratory issues should be closely monitored or may need an alternative medication. Choice C reason: Bradycardia, or a slower-than-normal heart rate, is a common side effect of beta-blockers. Propranolol reduces heart rate by blocking beta-1 receptors in the heart, which can be therapeutic for hypertension but may lead to excessively slow heart rates in some patients. Monitoring heart rate and educating patients about this possibility are essential parts of propranolol therapy. Choice D reason: Coughing spells are not a typical side effect associated with propranolol. While respiratory issues like bronchoconstriction can occur, coughing is not a direct result of beta-blocker therapy. Other medications, such as ACE inhibitors, are more commonly linked to persistent coughing. Choice E reason: Hypertension, or high blood pressure, is not a side effect of propranolol; rather, it is an indication for its use. Propranolol is prescribed to lower blood pressure, and if hypertension persists, it may indicate inadequate dosage or the need for additional medications, but it is not a side effect of the drug itself.