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. Depression: While Propranolol has been associated with depressive symptoms in some patients, it is not an absolute contraindication. The risk-benefit ratio should be assessed, especially in individuals with severe or recurrent depression. B. Glaucoma: Propranolol, particularly in ophthalmic form, may actually be used to treat glaucoma by reducing intraocular pressure. Therefore, glaucoma is not a contraindication to systemic beta-blocker therapy like Propranolol. C. Migraines: Propranolol is commonly used for migraine prophylaxis due to its ability to stabilize vascular tone. It is not only safe but also effective in clients with migraine history and is frequently prescribed for this purpose. D. Asthma: Propranolol is a non-selective beta-blocker and can block beta-2 receptors in the lungs, leading to bronchoconstriction. This can precipitate severe asthma attacks, making asthma a major contraindication to its use.