A 76-Year-Old Patient Has Not Had Significant Reduction in Osteoarthritic

Multiple Choice

A 76-year-old patient has not had significant reduction in osteoarthritic shoulder pain after 8 weeks of nondrug therapy.The most symptomatic shoulder is the patient's dominant arm.She has taken acetaminophen for pain without relief.What consideration is the least significant in choosing an NSAID for her?

A) The cost of the drug
B) Prior history of gastrointestinal intolerance to NSAIDs
C) History of congestive heart failure
D) History of reaction to colchicine
E) Bleeding disorder history