The nurse is conducting a presurgical interview when it is noted that the older adult patient's medication list includes Tylenol 650 mg four times a day for arthritic pain, gingko 80 mg twice a day, and glucosamine chondroitin 500 mg three times per day

The nurse proceeds to share with the client that in order to minimize the risk for postsurgical complications, there is the need to refrain from taking:
a. glucosamine chondroitin for 1-2 weeks due to a potential for excess anesthetic sedation.
b. ginkgo for 2 weeks due to the potential for increased bleeding.
c. Tylenol for 24-48 hours due to the poten-tial for increased bleeding.
d. gingko for 1 week due to the potential for an allergic reaction during surgery.


ANS: B
It is recommended that ginkgo be discontinued for 2 weeks preoperatively due to the potential for increased bleeding. There is no evidence that ginkgo is associated with allergic reactions dur-ing surgery. There are no recommendations for discontinuation of glucosamine chondroitin, and glucosamine is not associated with a potential for increased sedation from anesthetics. Tylenol is not associated with a potential for increased bleeding.

Nursing

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