A client who received an allograft develops symptoms of vomiting, diarrhea, and a pruritic rash on the palms of the hands and soles of the feet. The nurse recognizes this is indicative of:
A)
an allergic response.
B)
graft-versus-host disease.
C)
chronic rejection.
D)
acute rejection.
B
Explanation:
A)
Graft-versus-host disease begins with a maculopapular rash on the palms and soles of the feet, as well as gastrointestinal symptoms. Allergic responses usually involve urticaria, swelling, itching, and/or anaphylaxis. Acute and chronic rejections involve symptoms related to failure of the transplanted organ.
Application
Assessment
Physiological Integrity: Physiological Adaptation
B)
Graft-versus-host disease begins with a maculopapular rash on the palms and soles of the feet, as well as gastrointestinal symptoms. Allergic responses usually involve urticaria, swelling, itching, and/or anaphylaxis. Acute and chronic rejections involve symptoms related to failure of the transplanted organ.
Application
Assessment
Physiological Integrity: Physiological Adaptation
C)
Graft-versus-host disease begins with a maculopapular rash on the palms and soles of the feet, as well as gastrointestinal symptoms. Allergic responses usually involve urticaria, swelling, itching, and/or anaphylaxis. Acute and chronic rejections involve symptoms related to failure of the transplanted organ.
Application
Assessment
Physiological Integrity: Physiological Adaptation
D)
Graft-versus-host disease begins with a maculopapular rash on the palms and soles of the feet, as well as gastrointestinal symptoms. Allergic responses usually involve urticaria, swelling, itching, and/or anaphylaxis. Acute and chronic rejections involve symptoms related to failure of the transplanted organ.
Application
Assessment
Physiological Integrity: Physiological Adaptation
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