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    Hesi rn d443 health assessment proctored exam

    Patient Data Exhibits Click to indicate which findings are indicative of rheumatoid arthritis or are not applicable to that disease. Each row must have only one response option selected.

    Explanation & Rationale

    Fatigue and fever – Rheumatoid Arthritis. Systemic symptoms such as fatigue and low-grade fever are common in rheumatoid arthritis (RA) due to its autoimmune inflammatory nature. Pain increases with motion – Rheumatoid Arthritis. In RA, joint pain worsens with movement due to inflammation, though it can also occur at rest. Heberden nodes – Not Applicable. Heberden’s nodes are bony growths on the distal interphalangeal (DIP) joints, which are characteristic of osteoarthritis (OA), not RA. RA primarily affects the proximal interphalangeal (PIP) and metacarpophalangeal (MCP) joints. Symmetrical involvement – Rheumatoid Arthritis. RA typically presents symmetrically, meaning it affects the same joints on both sides of the body. Small joints of the hand – Rheumatoid Arthritis. RA commonly affects small joints, especially the MCP and PIP joints in the hands. Joint swelling – Rheumatoid Arthritis. Inflammation leads to swelling in affected joints, a hallmark of RA. Morning stiffness quickly resolves – Not Applicable. Morning stiffness in RA lasts more than 30 minutes to several hours, whereas in osteoarthritis, stiffness typically resolves quickly with movement.

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