Question

question 39
an african - american patient who is being treated with a thiazide diuretic for chronic hypertension reports blurred vision and shortness of breath. the provider notes a blood pressure of 185/115. what is the recommended action for this patient?
add a beta blocker to the patients regimen.
admit to the hospital for evaluation and treatment.
increase the dose of the thiazide medication.
prescribe a calcium channel blocker.

Explanation:

The patient has high blood pressure (185/115) along with blurred vision and shortness of breath, which are signs of a possible hypertensive emergency. Such cases require immediate in - hospital evaluation and treatment to prevent serious complications like organ damage. Adding a single medication like a beta - blocker, increasing the thiazide dose, or prescribing a calcium channel blocker as an outpatient may not be sufficient to manage the acute situation.

Answer:

Admit to the hospital for evaluation and treatment.