A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions?

A. Glaucoma: Propranolol is not contraindicated in clients with glaucoma. In fact, beta-blocker eye drops such as timolol are sometimes prescribed to reduce intraocular pressure, showing that this condition does not pose a risk with propranolol therapy. B. Depression: While propranolol can occasionally worsen depressive symptoms, depression is considered a precaution rather than a strict contraindication. The benefits of blood pressure control often outweigh this risk, provided the client is closely monitored. C. Migraines: Propranolol is frequently prescribed as a preventive treatment for migraines due to its effectiveness in reducing frequency and severity. Therefore, a history of migraines is not a contraindication but rather a therapeutic indication. D. Asthma: Propranolol is contraindicated in clients with asthma because its nonselective beta-blocking effect can cause bronchoconstriction. Blocking beta-2 receptors in the lungs increases the risk of bronchospasm, which can trigger life-threatening respiratory complications in asthmatic clients.