When assessing a client for rheumatoid arthritis, which symptom is of most concern and may indicate disease progression?

When assessing a client for rheumatoid arthritis, the presence of red and edematous metacarpophalangeal joints is particularly concerning and can indicate disease progression. In rheumatoid arthritis, inflammation leads to synovitis, which is characterized by swelling, redness, and warmth in the affected joints. Persistent or worsening inflammation may signify that the disease is becoming more aggressive, leading to joint damage, deformities, and decreased functionality.

Redness and swelling in the metacarpophalangeal joints specifically point to active inflammation. This is critical since early recognition of active disease can prompt timely interventions that may prevent further joint damage. Advanced stages of rheumatoid arthritis can result in erosive changes and functional impairment, emphasizing the need for close monitoring and appropriate treatment in response to these inflammatory signs.

In contrast, the other symptoms listed do not indicate an immediate concern for disease progression in the same way. A low-grade fever that comes and goes may sometimes be associated with flare-ups of autoimmune conditions but is less specific than the local symptoms of joint inflammation. Joint discomfort rated 6/10 with palpation may suggest pain but does not provide the same urgent indication of inflammatory activity or progression. Complete remission of symptoms for months can be viewed as a positive outcome, with no