Which of the following manifestations would a nurse expect in a 70 year old patient who has advanced osteoarthritis?

A. Swan neck deformity of the hand: This deformity is typically associated with rheumatoid arthritis. It results from inflammation and ligament laxity rather than the degenerative changes seen in osteoarthritis. B. Morning stiffness lasting >30 minutes: Prolonged morning stiffness is more characteristic of inflammatory joint diseases like rheumatoid arthritis. In osteoarthritis, stiffness usually resolves within 15–30 minutes of activity and worsens later in the day with joint use. C. Enlarged great toe: Enlargement of the great toe, especially the metatarsophalangeal joint, is more commonly seen in gout, not osteoarthritis. Gout results from uric acid crystal deposition, whereas osteoarthritis involves cartilage degeneration and bone spur formation. D. Heberden’s nodes on the distal phalanges: These bony enlargements at the distal interphalangeal joints are classic manifestations of advanced osteoarthritis. They develop from osteophyte (bone spur) formation and indicate chronic joint degeneration affecting hand mobility and dexterity.