Pain Management Nursing Practice Exam

Acetaminophen is often recommended as the first-line treatment for mild musculoskeletal pain in elderly patients due to its effectiveness and favorable safety profile. It is generally well-tolerated and does not have the gastrointestinal side effects commonly associated with non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, and aspirin, which can be problematic for older adults who may have pre-existing conditions or are on multiple medications.

In older adults, the risk of adverse effects increases with NSAIDs, including gastrointestinal bleeding, kidney problems, and cardiovascular risks. Therefore, acetaminophen presents a safer alternative for addressing mild pain while minimizing these potential complications. Moreover, acetaminophen is an analgesic that can efficiently relieve pain without the anti-inflammatory properties that might not be necessary in cases of mild musculoskeletal pain.

The other options, while they can effectively manage pain, might raise concerns in older patients due to their side effects. Hence, acetaminophen is prioritized in this scenario.