Final answer:
The JNC 8 guidelines recommend first-line medications such as thiazide-diuretics, calcium channel blockers, ACE inhibitors, and ARBs for treating hypertension in patients with a history of CVA. Multiple medications may be required, and a stepped care approach should be used if target blood pressure levels are not achieved.
Step-by-step explanation:
According to the JNC 8 guidelines, the recommended treatment for hypertension (HTN) in patients with a history of cerebrovascular accident (CVA) includes first-line medications such as thiazide-diuretics, calcium channel blockers, angiotensin converting enzyme inhibitors (ACE inhibitors), and angiotensin receptor blockers (ARBs). These medications can be used alone or in combination. However, ACE inhibitors and ARBs are not recommended to be used together. In many cases, multiple medications are required to control hypertension. Medications should be implemented using a stepped care approach if target blood pressure levels are not reached.