A 49-year-old patient is in the PACU following a frontal craniotomy for repair of a ruptured cerebral aneurysm. The nurse assesses that the patient's eyes open on verbal stimulation. Pupils are equal, reactive to light, and diameter is 3 mm. The patient's hand grasps are equal and strong. When the nurse asks the patient to state name, the patient states name correctly. The patient has had one episode of nausea and vomiting. Incision edges are dry and approximated with sutures. Lung sounds are slightly diminished per auscultation and the nurse observes the patient is using abdominal accessory muscles to breathe. Which body systems has the nurse assessed? (Select all that apply.)

Correct Answer: C

Rationale: Assessed systems include neurologic (choice C, pupils, grasps, orientation), respiratory (choice E, lung sounds), gastrointestinal (choice B, nausea), and integumentary (choice D, incision). Cardiovascular isn't noted. The rationale connects findings: neuro checks assess brain function post-craniotomy; lung sounds and breathing pattern evaluate oxygenation; nausea signals GI status; incision monitors healing. Nursing ensures brain and systemic stability, distinct from unassessed areas.

Correct Answer: A

Rationale: To be as active as possible, walking up to one mile per day by the postoperative office visit,' as it's excessive for an obese patient early postop unlike 'binder' (B), supportive, 'gradual activity' (C), appropriate, or 'work in 1 week' (D), feasible for laparoscopy. In nursing, tailored activity prevents strain; A aligns with NCLEX Perioperative, identifying unrealistic expectations.

Correct Answer: B

Rationale: Herbal medicines should stop at least 2 weeks before surgery due to potential interactions (e.g., bleeding, sedation). Shorter 7-10 days , 2 days risks effects; 30 days is excessive. The rationale highlights pharmacology: herbs like ginkgo (bleeding) or St. John's wort (drug metabolism) need 14 days to clear, per anesthesia guidelines. Nursing assesses usage, educating on risks, ensuring safe anesthesia and hemostasis, contrasting with inadequate or overly long cessation.

Correct Answer: B

Rationale: Low lithotomy,' as it provides perineal access for prostatectomy unlike 'lateral' (A), 'high lithotomy' (C), excessive, or 'Kraske's' (D), rectal. In nursing, correct positioning ensures access; B aligns with NCLEX Perioperative, matching procedure to position.

Correct Answer: D

Rationale: It's never okay,' as removing the stopper risks contamination unlike 'gloves/clamp' (A), 'not pushing' (B), or 'alcohol' (C), all insufficient. In nursing, sterility is absolute; D aligns with NCLEX Perioperative, upholding aseptic technique.