Question

A client with systemic sclerosis (Scleroderma) has been in bed for two weeks due to fatigue and abdominal pain. Today, the client came into the clinic complaining of her leg being hot red, and painful. What does the nurse suspect?

a) Deep vein thrombosis (DVT)
b) Muscle strain
c) Superficial skin infection
d) Allergic reaction

Answer 1

The symptoms of a hot, red, and painful leg in a bedridden systemic sclerosis patient suggest deep vein thrombosis (DVT), a serious condition requiring prompt medical attention.

Step-by-step explanation:

The symptoms described by the client suffering from systemic sclerosis who has been bedridden and is now experiencing a hot, red, and painful leg are indicative of deep vein thrombosis (DVT). This condition involves the formation of a blood clot in a deep vein, typically in the legs. Symptoms of DVT can include warmth, swelling, redness, and pain in the affected limb, as depicted in Figure 17.8.1. The immobility due to being bedridden for an extended period can increase the risk of DVT due to the lack of normal blood circulation that would normally be aided by muscle movement. It is critical to evaluate the client for DVT, as this condition can lead to serious complications if not diagnosed and treated promptly.