Author Question: A client is diagnosed with progressive systemic sclerosis. Which of the following will the nurse ... (Read 102 times)

tiara099 · **on:** Jun 25, 2018

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

Question 2

The nurse is preparing to provide wound care to a client newly diagnosed with a burn. Which of the following are goals of this initial wound care? (Select all that apply.)

1. Hydrate the skin.
2. Cleanse the skin.
3. Prevent further skin destruction.
4. Provide comfort.
5. Prevent nutritional deficits.
6. Prevent infection.

johnpizzaz · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

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.

Answer to Question 2

2, 3, 4, 6
Goals for initial wound care for a client newly diagnosed with a burn include cleansing to prevent infection, prevent further skin destruction, and provide comfort. Skin hydration and prevention of nutritional deficits are not goals of initial wound care.