If a patient with chronic hypertension has an elevated blood pressure reading, what should the next action include?

The appropriate response for a patient with chronic hypertension and an elevated blood pressure reading involves assessing for signs of preeclampsia. This is critical as preeclampsia is a serious condition that can arise during pregnancy, characterized by high blood pressure and potential damage to other organ systems. By evaluating for signs such as proteinuria, swelling, or headaches, healthcare providers can determine if the patient may require more immediate intervention due to the risks associated with this condition, especially if the patient is pregnant.

Immediate increases in medication dosage are generally not advisable without a thorough assessment, as they may lead to overly aggressive treatment and potential adverse effects. Scheduling a follow-up in six months would not be appropriate given the urgent nature of managing elevated blood pressure in a patient with a history of chronic hypertension, as timely intervention is often necessary to prevent complications. Performing an ultrasound immediately is not a standard first step in response to an elevated blood pressure reading unless there are specific indications that warrant such imaging, especially in the absence of any other concerning symptoms.

Thus, assessing for signs of preeclampsia allows for early detection and appropriate management of a potentially life-threatening condition.