A client is treated for rheumatoid arthritis. Which of the following findings should assume the HIGHEST priority for the nurse when planning the client's care?
1. The client has subcutaneous nodules on the right and left forearms.
2. The client has a slight contracture of the right wrist.
3. The client has mild erythema of the finger joints.
4. The client has an area of ecchymosis approximately 3 mm in diameter on right forearm.