A client who received an allograft develops symptoms of vomiting, ...

[2125004343]

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 that the client is experiencing:
 
  1. acute rejection.
  2. GVH disease.
  3. chronic rejection.
  4. an allergic response.

Question 2

The nurse suspects that a client is hypersensitive to a vaccine just administered. Nursing management of an allergic response includes immediate assessment of the:
 
  1. injection site for signs and symptoms of the inflammatory response.
  2. skin to check for urticaria.
  3. dose of medication taken by the client.
  4. respirations to determine airway patency.

[rleezy04]

Answer to Question 1

Answer: 2

1. Acute rejection involves symptoms related to failure of the transplanted organ.
2. GVH disease begins with a maculopapular rash on the palms and soles of the feet, as well as gastrointestinal symptoms.
3. Chronic rejection involves symptoms related to failure of the transplanted organ.
4. Allergic responses usually involve urticaria, swelling, itching, and/or anaphylaxis.

Answer to Question 2

Answer: 4

1. Skin changes might not occur as part of the inflammatory response.
2. Urticaria might not occur with an allergic response.
3. The medication dose should have been checked before injecting.
4. Allergic reactions can include anaphylaxis with laryngeal swelling and difficulty breathing. Airway assessment is the number one priority.

[2125004343]

TYSM

[okolip]

Excellent