What is the appropriate action when a driver has an initial blood pressure reading of 168/104 mm Hg?

When a driver presents with an initial blood pressure reading of 168/104 mm Hg, the appropriate action is to issue a three-month certificate. This is consistent with the guidelines for medical examiners to ensure safety on the road when drivers have elevated blood pressure levels, indicative of stage 2 hypertension.

A three-month certification gives the driver the opportunity to manage and monitor their condition closely. This short-term certification allows for reassessment of their hypertension after a period during which they may be able to make lifestyle changes or consult with a healthcare provider for potential treatment.

Longer certifications, such as a one-year or two-year certificate, are not appropriate in this situation due to the heightened risk associated with this level of hypertension, which can lead to serious cardiovascular issues if not managed properly. Additionally, simply referring the driver to a specialist, while beneficial for their health, wouldn’t immediately address their driving eligibility in a timely manner; hence the three-month certificate serves as a practical interim solution.