2024 PN NCLEX Questions Nursing Practice Question
A month after receiving a blood transfusion, an immunocompromised client develops fever, liver abnormalities, a rash, and diarrhea. The nurse should suspect this client has:
Correct Answer: B
Rationale: The symptoms presented—fever, liver abnormalities, rash, and diarrhea—are indicative of graft-versus-host disease (GVHD), a serious condition that can occur after a blood transfusion, especially in immunocompromised patients.
Option A is incorrect as the symptoms are clearly related to the transfusion.
Option C, myelosuppression, refers to bone marrow suppression, which does not typically manifest with these specific symptoms.
Option D, an allergic response to medication, usually presents with different symptoms, such as hives or respiratory issues, rather than the systemic signs seen here. Thus, GVHD is the most fitting diagnosis.