The nurse is conducting a morning assessment on a client with a diagnosis of scleroderma. Which of the following manifestations, characteristic to this disease, might the nurse expect to find?Cassidy RhodyID: 112703Question 32Select all that apply:1.Fingers and toes turn blue and white in response to cold2.Burning pain occurs at occipital trigger points3.The client has a temperature of 102.2 ºF (39 ºC)4.The client complains of painful white deposits on the skin5.The client often experiences heartburn following a meal
Question
The nurse is conducting a morning assessment on a client with a diagnosis of scleroderma. Which of the following manifestations, characteristic to this disease, might the nurse expect to find?Cassidy RhodyID: 112703Question 32Select all that apply:1.Fingers and toes turn blue and white in response to cold2.Burning pain occurs at occipital trigger points3.The client has a temperature of 102.2 ºF (39 ºC)4.The client complains of painful white deposits on the skin5.The client often experiences heartburn following a meal
Solution
The nurse might expect to find the following manifestations in a client with a diagnosis of scleroderma:
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Fingers and toes turn blue and white in response to cold: This is a symptom of Raynaud's phenomenon, which is common in people with scleroderma. The small blood vessels in the extremities constrict in response to cold, causing the skin to turn blue and white.
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The client often experiences heartburn following a meal: Gastroesophageal reflux disease (GERD) is a common symptom of scleroderma. This is due to the hardening and tightening of the muscles in the esophagus, which can cause stomach acid to back up into the esophagus, leading to heartburn.
The other options are not typically associated with scleroderma. Burning pain at occipital trigger points might be associated with a condition like fibromyalgia, not scleroderma. A temperature of 102.2 ºF (39 ºC) indicates a fever, which is not a specific symptom of scleroderma. Painful white deposits on the skin could be a symptom of a different skin condition, not typically scleroderma.
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