A 36 year old woman on chronic cyclosporine treatment for bilateral lung transplantation visits the emergency department complaining of extreme headache, nausea and vomiting. Her exam is notable for BP 239/165, normal cardiac exam, bibasilar pulmonary rales, and 1 lower extremity edema. EKG showed asymmetric inverted T-waves in I, aVL, and V4-6. In an effort to acutely control her blood pressure, which of the following is TRUE?
a. Discharge her home with prochlorperazine and close instructions to return if her symptoms worsen.
b. Observe for 6 hours, administer acetaminophen and normal saline, and discharge home if she feels better.
c. Perform a lumbar puncture to rule out the possibility of subarachnoid hemorrhage.
d. Consult a neurologist for evaluation of atypical migraines.
e. Observe for 6 hours and then obtain a repeat CT scan; if normal, discharge home.