A 78-year-old patient has a history of osteoarthritis. Which signs and symptoms would the nurse expect to find on physical assessment?
A) Joint pain, crepitus, and Heberden's nodes
B) Hot, inflamed joints, crepitus, joint pain
C) Tophi, enlarged joints, Bouchard's nodes
D) Swelling, joint pain, tenderness on palpation
Ans: A
Feedback: Clinical findings for osteoarthritis include joint pain, crepitus, Heberden's nodes, Bouchard's nodes, and enlarged joints. The joint pain occurs with movement and is relieved by rest. As the disease progresses, pain may also occur at rest. Heberden's nodes are bony growths that occur at the distal interphalangeal joints. Bouchard's nodes involve the proximal interphalangeal joints. Tophi are deposits of sodium urate crystals that occur in chronic gout, not osteoarthritis. Hot, inflamed joints rarely occur in osteoarthritis. Swelling, joint pain, and tenderness on palpation occur with a sprain injury.
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