A nurse is assessing a client for early manifestations of rheumatoid arthritis (RA). Which change is a manifestation of RA?

A. Nodules, specifically rheumatoid nodules, can occur in RA, but they are not typically an early manifestation. B. Fremitus is related to lung assessment and is not a manifestation of rheumatoid arthritis. C. Tenderness in the soles of the feet is not a classic early manifestation of RA. D. Joint swelling is one of the hallmark early signs of rheumatoid arthritis due to inflammation of the synovial membranes.