The nurse is caring for a patient who recently received a kidney transplant. Which of the following would most likely put the patient at risk for organ rejection?
a. Cytotoxic lymphocytes have been activated by the anesthetic used during sur-gery.
b. The sequence of amino acids in the major histocompatibility complex molecules differs from that in the donor.
c. An allergic response occurs to the natural immunosuppressants the body produces.
d. The immune system cannot activate against foreign antigens after an organ is transplanted.
B
The major histocompatibility complex molecules from one individual are recognized as foreign by the immune system, and when an attempt is made to transplant organs between individuals who are not identical twins, immune rejection of the transplant is likely.
Cytotoxic lymphocytes are not responsible for organ rejection in which anesthetics are is in-volved.
The body does not typically have an allergic response to its own natural immunosuppressants.
The immune system does activate against foreign antigens after organ transplantation.
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