A client who is speaking wildly and is obviously very agitated ...

[lunatika]

A client who is speaking wildly and is obviously very agitated has been admitted to the in-patient psychiatric unit. The nurse plans to calm the client by:
 
  1. Using short sentences.
   2. Placing the client in a room away from others.
   3. Administering a prn medication to sedate the client.
   4. Speaking in a calm and soft tone.

Question 2

The nurse is caring for a client who has complaints of chronic pain and who has been diagnosed with fibromyalgia. The nurse expects to assess which of the following in this client? (Select all that apply.)
 
  1. Pain in the calves of the leg
   2. Anxiety
   3. Irritable bowel syndrome
   4. Nausea and vomiting
   5. Headache

[nanny]

Answer to Question 1

4. Speaking in a calm and soft tone.

Rationale:
Speaking in a soft, calm manner to an excited client is the first step to try defusing the situation. The nurse's tone may calm the excited client. Using short sentences is a useful tool, but in the case of an excited client, the nurse would attempt to calm the client first. Isolating the client may be necessary if the client's behavior escalates to violence, but that is not evident here and is not the first choice of action. Giving a sedative is the last resort and is used only if the client is threatening to hurt self or others.

Answer to Question 2

2. Anxiety
3. Irritable bowel syndrome

Rationale:
The client with fibromyalgia experiences weakness, irrititable bowel syndrome, stiffness, anxiety, and sleep disturbances. There is no evidence that pain in the calves, nausea, vomiting, and headache are symptoms of fibromyalgia.