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QOD 1: Breathing Difficulties in a Patient with Scleroderma (Integumentary/Basic Care and Comfort)

Question:

A 36-year-old patient has been diagnosed with scleroderma and has breathing difficulties, including wheezing and dry cough. Which of the following skin changes would the nurse also expect to see upon assessment of this patient?

Answer:

D.  Stiff, tight skin that is lighter or darker than surrounding skin

Rationale:

Scleroderma is an autoimmune disorder that can impact different parts of the body. Certain types of scleroderma may cause breathing difficulties; however, the condition can also cause skin changes that affect the patients movement. The patient with scleroderma is most likely to suffer skin changes such as stiff or tight skin that may be lighter or darker when compared to surrounding skin, ulcers on the fingertips, and small bumps under the surface of the skin.

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