What is the priority management strategy for a client with hypertension and a BP of 158/98 mmHg after lifestyle changes?

In cases of hypertension where lifestyle modifications, such as diet and exercise, have not sufficiently lowered blood pressure, the initiation of drug therapy becomes essential. This management strategy is crucial because a sustained blood pressure of 158/98 mmHg indicates a significant risk for cardiovascular complications including heart disease and stroke.

While continuing with diet and exercise is important for overall health and long-term management of hypertension, it may not provide the immediate control needed for a person with elevated blood pressure readings. Monitoring blood pressure weekly might be useful, but it does not address the underlying issue and could lead to a delay in appropriate intervention. Referring to a dietitian may help improve dietary habits, but it similarly does not replace the need for more immediate pharmacologic intervention. Starting medication is the most direct and effective way to achieve target blood pressure levels and reduce the risk of associated health problems.