A client is diagnosed with progressive systemic sclerosis. Which of the following will the nurse most likely assess in this client? (Select all that apply.)

1. Telangiectasia
2. Sclerodactyly
3. Difficulty swallowing
4. Painful cold hands and fingers
5. Small white calcium deposits under the skin
6. Hematuria


1, 2, 3, 4, 5
In progressive systemic sclerosis, the skin, muscle, joints, lungs, esophagus, heart, digestive system, and kidneys are often affected in the diffuse subcutaneous form, often termed as CREST. Clinical manifestations include calcinosis, or small white calcium deposits under the skin; Raynaud's syndrome, or painful cold hands and fingers; alteration in esophageal movement, or difficulty swallowing; sclerodactyly of the fingers and toes; and telangiectasia or permanent dilation of the capillaries, arterioles, and venules. Hematuria is not seen in this disorder.

Nursing

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Answer the following statement true (T) or false (F)

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