When Working with a Patient with Diffuse Scleroderma Who Is

When working with a patient with diffuse scleroderma who is exhibiting a "stone face" expression, the nurse should consider which of the following to be a priority nursing diagnosis for this patient?

A) Ineffective tissue perfusion related to tightening of the facial skin
B) Activity intolerance related to muscle tightening in lower extremities
C) Oral mucous membrane, impaired due to restricted motion of the mouth
D) Aspiration, risk related to swallowing impairments

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