1. A 25-year-old client is being seen in a clinic for the first time for possible osteoarthritis. Which statement by the client would be consistent with an early symptom of arthritis?
1. A 25-year-old client is being seen in a clinic for the first time for possible osteoarthritis. Which statement by the client would be consistent with an early symptom of arthritis?
. "When I get up in the morning, I feel stiff."
. "I am concerned that my fingers are looking deformed."
. "Look how blue the skin is over my knuckles."
. "My lower back is constantly in pain."
Test-Taking Tip
Look for an early indication.
Content Area: Adult Health, Musculoskeletal; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
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Answer 1 is correct because morning stiffness usually lasts less than 30 minutes and decreases with movement. Pain and functional impairment are also manifestations of osteoarthritis. Answer 2 is incorrect because deformities of hands and feet are common in rheumatoid arthritis. Answer 3 is incorrect because, if swelling is present, the joints may be reddened and warm, not blue. Answer 4 is incorrect because this may be due to muscle strain rather than arthritis, as arthritis in the lumbar region develops more slowly.