Pass the NHA CCMA.
Guaranteed.

1. A.Have the patient sit or lie down, obtain vital signs (including blood pressure), and notify the provider immediately.
2. B.Instruct the patient to increase water intake to prevent dehydration.
3. C.Encourage the patient to continue taking the medication as prescribed and return if symptoms persist.
4. D.Advise the patient to hold the next dose of the medication without contacting the provider.
5. E.Suggest switching to an over-the-counter alternative for blood pressure control.

Grogginess and lightheadedness after starting an antihypertensive can indicate hypotension, an adverse medication effect, or another acute problem. The safest immediate response is to ensure patient safety (seated or supine), check vital signs (especially blood pressure), and escalate promptly by notifying the provider. The choices focused on increasing fluids or simply continuing the medication delay evaluation and could worsen an adverse event. The choices that involve the patient independently changing therapy (holding a dose without provider guidance or switching to an over-the-counter product) are inappropriate and outside typical medical assistant scope; medication decisions require provider assessment.