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

Nursing

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