The 40-year-old African American woman has had Raynaud's phenomenon for some time. She is now
reporting red spots on the hands, forearms, palms, face, and lips. What other manifestations should the
nurse assess for when she is assessing for scleroderma (select all that apply)?
Calcinosis
Weight loss
Sclerodactyly
Difficulty swallowing
Weakened leg muscles
Correct Answers:
Calcinosis
Sclerodactyly
Difficulty swallowing
A 36-year-old patient has been diagnosed with scleroderma and has breathing difficulties, including
wheezing and dry mouth. Which of the following skin changes would the nurses also expect to see upon
assessment of this patient?
A.
B.
C.
D.
A pinpoint rash across the neck and chest.
Excess skin folds that break down easily.
Moist, pale skin that feels cool to the touch.
Stiff. Tight skin that is lighter or darker than surrounding skin.
Correct Answer:
D. Stiff. Tight skin that is lighter or darker than surrounding skin.