Review Question - QID 210977

A 47-year-old farmer presents to his primary care physician for an initial appointment. The patient has never seen a doctor and states that he is in good health. He has worked as a farmer for the past 30 years and has no complaints. His temperature is 98.9°F (37.2°C), blood pressure is 197/118 mmHg, pulse is 90/min, respirations are 14/min, and oxygen saturation is 98% on room air. Physical exam is notable for an obese man in no current distress. Laboratory values are seen below.

Serum:
Na+: 139 mEq/L
Cl-: 101 mEq/L
K+: 5.2 mEq/L
HCO3-: 25 mEq/L
BUN: 34 mg/dL
Glucose: 179 mg/dL
Creatinine: 1.4 mg/dL
Ca2+: 10.2 mg/dL

Which of the following is the most appropriate management for this patient's blood pressure?