What are early signs and symptoms expected in a client with rheumatoid arthritis?

Fatigue is a common early sign of rheumatoid arthritis and plays a significant role in the overall symptomatology of the condition. Patients often experience a persistent sense of tiredness that does not improve with rest. This fatigue can be attributed to the inflammatory processes occurring in the body as the immune system mistakenly attacks the synovial membranes in joints. The inflammation releases cytokines, which can contribute to the feeling of exhaustion.

In contrast, other options such as weight gain, excessive thirst, and nausea are not typical early signs of rheumatoid arthritis. Weight gain may occur later in the disease process due to reduced physical activity or medication side effects but is not an early symptom. Excessive thirst can suggest other conditions such as diabetes and is not specifically associated with rheumatoid arthritis. Nausea may occur for various reasons, including medication side effects, but it is not a hallmark of the early presentation of rheumatoid arthritis itself. Therefore, fatigue is the most representative early symptom for individuals with this condition.