A patient with mild to moderate osteoarthritis pain has been taking acetaminophen for pain.The primary care NP prescribes a nonselective NSAID.At a follow-up visit,the patient reports mild GI side effects.The NP should:

Question

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If the patient experiences GI distress,coadministration of histamine-2 blockers,proton pump inhibitors,or misoprostol may be considered.Tramadol is used for severe pain.A COX-2 inhibitor is generally used for long-term therapy.Naproxen is another nonselective NSAID and would likely have similar GI side effects.

A Patient with Mild to Moderate Osteoarthritis Pain Has Been