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What should a nurse report to the provider for a client with angina pectoris on propranolol hydrochloride and has which history?

  1. History of bronchial asthma

  2. Previous myocardial infarction

  3. Hypothyroidism

  4. Type 2 diabetes mellitus

The correct answer is: History of bronchial asthma

A history of bronchial asthma is a significant concern for a client with angina pectoris who is on propranolol hydrochloride. Propranolol is a non-selective beta-blocker, which can cause bronchoconstriction by blocking beta-2 receptors in the lungs. In clients with a history of bronchial asthma, propranolol can potentially exacerbate bronchoconstriction, leading to respiratory distress and worsening asthma symptoms. Therefore, it is crucial for the nurse to report this information to the provider to consider an alternative medication that is safer for a client with bronchial asthma. While the other answer choices may be relevant to the client's overall health status, they are not specifically contraindicated with propranolol hydrochloride for a client with angina pectoris.