The nurse assessing the client with systemic sclerosis ...

[jon_i]

The nurse assessing the client with systemic sclerosis (scleroderma) and sclerodactyly would anticipate finding what when examining the fingers?
 
  1. Loss of pigmentation, or white patches
  2. Hyperflexibility of the fingers
  3. Excess collagen deposits in the skin layers
  4. Lack of feeling in the first three fingers

Question 2

Which of the following signs and symptoms would the nurse most likely observe when gathering data on a neonate with developmental dysplasia of the hip (DHH)?
 
  1. Affected leg shorter than the other
  2. Grimacing with hip adduction
  3. A click sound with hip abduction
  4. Tensing of hip muscles when handled

[maaaaaaaaaa]

Answer to Question 1

3
Rationale: Sclerodactyly is an excess of collagen deposits in the skin, resulting in thick, tight, shiny, and occasionally darkly pigmented skin. Facial skin loses elasticity, and bending and straightening the fingers can be difficult.

Answer to Question 2

3
Rationale: When placing the nurse's fingertips on the buttocks and wrapping the thumbs around the thigh, the nurse will hear and feel a click when abducting the hip of a neonate with DHH.

[jon_i]

Thank you!

[maaaaaaaaaa]

Always glad to help...