Ten days after receiving a bone marrow transplant, a patient develops a skin rash. What would the nurse suspect is the cause of this patient's skin rash?
a. The donor T cells are attacking the patient's skin cells.
b. The patient's antibodies are rejecting the donor bone marrow.
c. The patient is experiencing a delayed hypersensitivity reaction.
d. The patient will need treatment to prevent hyperacute rejection.
ANS: A
The patient's history and symptoms indicate that the patient is experiencing graft-versus-host disease, in which the donated T cells attack the patient's tissues. The history and symptoms are not consistent with rejection or delayed hypersensitivity.
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