A client with a diagnosis of Schizophrenia has been released from an acute care setting. The client had a prolonged recovery from relapse. One of the parents says to the discharge nurse, "I do not understand what is going on. The hospital said she was better, but all she does is sit around all day and smoke. We cannot get her to go to the vocational training you arranged." The nurse recognizes that more teaching is needed about:

• A. the pathophysiology and acting out behaviors of schizophrenia.
• B. support groups that can help the parents release their feelings of frustration.
• C. the prolonged recovery time and depressive effects of medicines to prevent relapse.
• D. motivational techniques that are effective in clients with schizophrenia.

Chemotherapeutic agents often produce a degree of myelosuppression including leukopenia. Leukopenia does not present immediately but is delayed several days or weeks because:

• A. folic acid levels are normal.
• B. the client's hemoglobin and hematocrit are normal.
• C. the current white cell count is not affected by chemotherapy.
• D. red blood cells are affected first.

The physician wants to know if a client is tolerating his total parenteral nutrition. Which of the following laboratory tests is likely to be ordered?

• A. a complete blood count
• B. triglyceride level
• C. liver function tests
• D. a glucose tolerance test

A serious complication of a total hip replacement is displacement of the prosthesis. What is the primary sign of displacement?

• A. edema in the area of the incision
• B. affected leg appearing 1-2 inches longer
• C. hemorrhage
• D. pain on movement and weight bearing