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    Mental Health Kentucky University Proctored Exam 2

    A 57-year-old man presents with a chief complaint of pain in his right hip that worsens with activity and improves with rest. The NP suspects osteoarthritis. Upon assessment, the NP would expect to find all of the following EXCEPT which one?

    Explanation & Rationale

    Choice A reason: Stiffness, especially after periods of inactivity or in the morning, is a hallmark symptom of osteoarthritis. It typically improves with gentle movement. Choice B reason: Limited mobility is common in osteoarthritis due to joint degeneration, pain, and structural changes such as osteophyte formation and cartilage loss. Choice C reason: Joint swelling may occur due to synovial inflammation or effusion, although it is typically mild compared to inflammatory arthritides like rheumatoid arthritis. Choice D reason: Bruising is not a feature of osteoarthritis. It suggests trauma or a bleeding disorder and is not associated with the degenerative changes seen in OA.

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