The Nurse Has Been Providing Care to a Patient with Scleroderma

The nurse has been providing care to a patient with scleroderma for a number of years. As the patient's disease progresses, the nurse monitors for CREST symptomology. For which finding is the nurse assessing?

A) Recurrence of tophi on the ears or fingers
B) Shiny skin over the involved joints.
C) Development of telangiectasia
D) Extremities that are always cool to the touch