NCLEX-PN

Answer: C - A client with a positive rheumatoid factor has rheumatoid arthritis, an autoimmune disease that mainly affects the smaller joints, such as the fingers and wrists. This condition is also characterized by progressive damage of the cartilage and ligaments, which can lead to bone deformities. Clients with hypertension (option A), hyperlipidemia (option B), and urinary tract infection (option D) are not at risk for body image disturbance.