During a health assessment, the client reports being treated for osteoarthritis. The nurse examines a client's hands and finds Heberden's nodes. Which finding should the nurse document in the client's medical record?

A. Proximal intertarsal joint swelling of big toe. Swelling of the big toe’s proximal intertarsal joint is more characteristic of gout rather than osteoarthritis. Heberden’s nodes specifically affect the distal interphalangeal (DIP) joints of the fingers, not the toes. B. Non-painful enlarged interphalangeal joints. While Heberden’s nodes can sometimes be painless, they are often associated with stiffness, discomfort, or deformity. The key feature is their location at the DIP joints, which distinguishes them from Bouchard’s nodes, which affect the proximal interphalangeal (PIP) joints. C. Frozen, non-movable phalangeal joints. Heberden’s nodes may cause stiffness and some loss of mobility, but complete immobility ("frozen joints") is more typical of severe rheumatoid arthritis or advanced joint contractures rather than osteoarthritis. D. Distal interphalangeal joint nodules that deviate. Heberden’s nodes are bony enlargements at the DIP joints, often causing deviation and deformity of the fingers. These are a hallmark sign of osteoarthritis, making this the correct documentation choice.