The nurse is caring for a client 4 hours after intracranial surgery. Which of following actions should the nurse take immediately? 1. Turn, cough, and deep-breathe the client. 2. Place the client with the neck flexed and head turned to the side. 3. Perform passive range-of-motion exercises. 4. Move the client to the head of the bed using a turning sheet. {Ans: 4.}The nurse is discharging a client from an inpatient alcohol treatment unit. Which of the following statements by the client's wife indicates to the nurse that the family is coping adaptively? 1. "My husband will do well as long as I keep him engaged in activities that he likes." 2. "My focus is learning how to live my life." 3. "I am so glad that our problems are behind us." 4. "I'll make sure that the children don't give my husband any problems." {Ans: 2.}A nurse in the outpatient clinic evaluates the Mantoux test of a client whose history indicates that she has been treated during the past year for an AIDS- related infection. The nurse should document that there was a positive reaction if there is an area of induration measuring which of the following?