Approximately 6 weeks after the client has received an allogeneic bone marrow transplant, a nurse notes that the client has peeling skin on the hands, feet, and legs. What is the nurse's best first action?
A. Request a humidifier to increase the moisture of the room.
B. Apply lanolin-based creams to the client's skin.
C. Document the observation as the only action.
D. Notify the physician.
D
Peeling skin is an early indication of graft-versus-host disease, in which the transplanted cells attack host cells. Without intervention, this process can progress, causing extensive tissue damage and death. The client's skin needs to be assessed and biopsied as soon as possible to initiate appropriate therapy.
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