A client who has had a bone marrow transplant is being evaluated by the nurse 2 months post-procedure. The nurse concludes that goals have not been met when:
1. the client reports no joint pain.
2. the client is sleeping well at night.
3. the client has lost 5 pounds.
4. the client has a rash on the palms.
Answer: 4
1. Abdominal pain, nausea, and bloody diarrhea would be a sign of graft-versus-host disease (GVH).
2. Sleeping habits are not a sign of rejection.
3. Unless the client loses a great deal of weight, weight loss is not an early sign of GVH.
4. An early sign of GVH is a rash that begins on the soles of the feet and palms.
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