The nurse is assessing a 66-year-old patient with osteoarthritis. The patient also has a history of emphysema and Raynaud's phenomenon. The nurse would expect to observe which of the following symptoms?

Chronic cough
Cold fingers
Joint pain and crepitus with the presence of Heberden''s nodes
Joint pain and stiffness after sitting or laying too long

Explanation

• Signs and symptoms of osteoarthritis include joint pain, a gradual decrease in range of motion, crepitus, Heberden's nodes in the distal interphalangeal joints, and Bouchard's node in the proximal interphalangeal joints. 

• Joint pain in osteoarthritis occurs with movement, often after sitting or lying too long.

• Heberden's nodes are bony bumps that occur at the distal (closest to the fingernail) interphalangeal joints and are associated with osteoarthritis.

• Bouchard's nodes are bony growths at the proximal (middle) interphalangeal joints, observed in both rheumatoid arthritis and osteoarthritis.

• Cold fingers and toes are a common symptom of Raynaud's phenomenon.

• A chronic cough is a common symptom of emphysema. 

• Tender joints that feel warm and morning stiffness lasting hours are common in rheumatoid arthritis

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