A 70-year-old patient presents with vague epigastric pain and decreased appetite. Which recommendation should NOT be given while awaiting diagnostic tests?

The recommendation to take time off from work until the diagnostic work-up is complete is not typically advised in this scenario. While it is important for the patient to rest and address their symptoms, suggesting that they take off work may not be necessary unless the symptoms are significantly impairing their ability to function.

In contrast, the other recommendations focus on symptom management and safety. Starting H2 blockers could help manage epigastric pain if it is suspected to be related to acid secretion. Advising the patient to report any new symptoms such as nausea or vomiting is critical, as these could indicate a worsening condition requiring immediate attention. Discontinuing NSAIDs is also prudent, as these medications can contribute to gastrointestinal issues and may exacerbate existing symptoms while the underlying cause of their epigastric pain is being evaluated.

Thus, while it is reasonable for the patient to consider their health and comfort, the specific advice to take time off work generally would not be prioritized while awaiting further diagnostic information.