A Patient Visits Her Primary Care Provider for Follow-Up of Bilateral

Multiple Choice

A patient visits her primary care provider for follow-up of bilateral knee osteoarthritis.She takes naproxen 250 mg 2 times a day with good relief of knee pain.She states that after the second dose she experiences "heartburn." Upon further questioning,she states that she takes the second dose just before bedtime with only a sip of water,stating that "Otherwise I have to get up during the night to urinate!" What patient education is most appropriate to potentially alleviate her presenting complaint?

A) She should take naproxen four times a day to decrease a nighttime "loading" effect that is most likely causing her complaint.
B) She should take the naproxen with juice because the acid content will help dissolve the medication faster.
C) She should take the naproxen with a full glass of water and remain upright for 30 minutes following ingestion.
D) She should crush the tablets and mix them with fluids.