A nurse is caring for a client who is newly diagnosed with rheumatoid arthritis (RA). The client asks the nurse what the difference is between RA and osteoarthritis (OA). Which responses by the nurse are the most appropriate?
Select all that apply.
A) "The onset of OA is gradual while the onset of RA may be rapid."
B) "With OA, multiple joints are symmetrically affected; RA affects one joint at a time."
C) "The affected joints in RA feel cold to the touch while the joints affected by OA are warm or hot to the touch."
D) "OA is slowly progressive while RA is characterized by exacerbations and remissions."
E) "The pain and stiffness with RA is with activity; OA pain and stiffness is predominant upon arising."
Answer: A, D
The onset of OA is gradual while the onset of RA may be rapid. RA affects multiple joints symmetrically while OA affects one joint at a time. The affected joints in OA feel cold to the touch while the joints affected by RA are warm or hot to the touch. OA is slowly progressive while RA has exacerbations and remissions. Pain associated with RA is predominant upon arising versus the pain in OA, which is with activity.
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