Which assessment is typical for a patient with osteoarthritis (OA)?
a. Narrow joint spaces with crepitus
b. Effects occur in symmetrical joints
c. Morning stiffness for at least an hour
d. Swelling from excess synovial fluid
A
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A Correct. The joint of an older adult with OA is narrower than a normal joint, and as the disease advances, crepitus is palpable over the joint. The joint narrows as it degenerates, and crepitus occurs as the articulating surfaces of the bone move against each other abnormally.
B Incorrect. Disease in symmetrical joints is characteristic of rheumatoid arthritis (RA).
C Incorrect. Morning stiffness lasting for 1 hour or more is characteristic of poly-myalgia rheumatica.
D Incorrect. Swelling from excessive synovial fluid is characteristic of RA.
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