A 78-Year-Old Patient Is Scheduled for a Right Knee Replacement

Multiple Choice

A 78-year-old patient is scheduled for a right knee replacement.He has a history of osteoarthritis.His medication list at home includes Tylenol 650 mg four times a day for arthritic pain.He reports that he also takes gingko 80 mg twice a day,a multivitamin tablet daily,and glucosamine chondroitin 500 mg three times per day.He states that he takes the gingko so that he will not develop dementia like his father,and the glucosamine for the arthritic pain.What should be included in preoperative teaching for the patient?

A) He needs to refrain from taking glucosamine chondroitin for 1 to 2 weeks before surgery because of the potential for increased sedation with anesthetics.
B) He needs to refrain from taking gingko for 2 weeks before surgery due to the potential for increased bleeding.
C) He needs to refrain from taking Tylenol for 24 to 48 hours before surgery due to the potential for increased bleeding.
D) He needs to refrain from taking gingko for 1 week before surgery due to the potential for an allergic reaction during surgery.