A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?

A. Crushing naproxen is not recommended, especially if it is an enteric-coated or extended-release formulation, as this can increase the risk of gastrointestinal irritation or bleeding. This statement requires further discussion. B. Taking an antacid for indigestion is common with NSAID use like naproxen and can be a reasonable strategy to reduce GI side effects. C. Swimming is an excellent low-impact exercise for clients with rheumatoid arthritis and supports joint mobility. D. A 2-pound weight loss over 2 weeks is generally not concerning unless unintended or associated with other symptoms.