A 54-Year-Old African American Man Has Presented for a Follow-Up

A 54-year-old African American man has presented for a follow-up appointment shortly after being diagnosed with hypertension and being placed on an angiotensin-converting enzyme (ACE) inhibitor. The nurse takes the patients vital signs at the beginning of the appointment and obtains a blood pressure of 177/96 mm Hg. What factor should the nurse consider in light of the patients sustained high blood pressure?

A) The patients culture may not prioritize taking a medication on a regular basis.
B) Biologic variations may be influencing the effectiveness of the medication.
C) The patients culture may not acknowledge symptom-free problems such as blood pressure.
D) The patients diet may be negatively affecting the effectiveness of the medication.