Hcg diet plan deutsch

Hcg diet plan deutsch
Useessential oils for weight loss: Natural oils including grapefruit, cinnamon and ginger oil can help control your appetite, hormones and digestive symptoms.

Hcg diet plan deutsch

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How to Cure Indigestion

Also known as dyspepsia, indigestion is a set of upper abdomen symptoms that may include pain, nausea, bloating, or feeling full after a light meal. [1]

Steps Edit

Method One of Three:

Coping With Symptoms Edit

Method Two of Three:

Seeking Medical Advice Edit

Method Three of Three:

Considering Alternative Treatments Edit

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NCLEX Review

a) Immediately place the client on withdrawal precautions.

b) Assess the client for prior and current use of any other substances.

c) Confirm with the client that she has in fact been using her husband's alprazolam and hydrocodone.

d) Call the primary health care provider for prescriptions for appropriate treatments for opiate and benzodiazepine withdrawal.

b) Assess the client for prior and current use of any other substances.

a) Immediately place the client on withdrawal precautions.

d) Call the primary health care provider for prescriptions for appropriate treatments for opiate and benzodiazepine withdrawal.

a) Assess the client's current condition and vital signs.

b) If the client shows no signs of acute injury, get help and carefully assist the client back to bed.

c) Document as required by the facility.

d) Notify the client's physician and family.

a) monitoring breath sounds

b) early ambulation

c) providing a minimum of 1500 mL of fluids/day

d) design a vigorous exercise program

* 2 g sodium diet

• Vital signs every 4 hours instead of every shift.

• Repeat electrolytes, urine for sodium and specific gravity in the morning.

• Strict intake and output.

Encouraging fluids and restricting dietary sodium to 2 g may further exacerbate the hyponatremia.

a) apply oxygen 2L/min via nasal cannula

b) assess client's pain

c) notify physician

d) administer analgesic

Pinching of the tubing used to deliver oxygen causes a high-pitched whistling sound.

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When the water level in the humidifier reservoir is too low, the oxygen tubing appears dry but doesn't make noise. A client with a nasal obstruction becomes more uncomfortable with nasal prongs in place and doesn't experience relief from oxygen therapy; the client's complaints, not an abnormal sound, would alert the nurse to this problem. A nasal cannula can't deliver oxygen concentrations above 44%.

Explanation: Chest compressions should be alternated with ventilation to ensure breathing and circulation. Two fingers or two thumbs encircling hands, not the palm of the hand, are used to compress a neonate's sternum. The chest is compressed 100 to 120 times per minute. The proper technique recommended by the Neonatal Resuscitation Program is to use enough pressure to depress the sternum to a depth of approximately one-third of the anterior-posterior diameter of the chest.

Explanation: When administering an I.M. injection to a 2-year-old child, the nurse might select the ventrogluteal muscle if the muscle is well developed. However, the preferred site is the vastus lateralis. The pectoral, femoral, and deltoid muscles aren't appropriate injection sites for a child.

Explanation: Motor vehicle injuries are the leading cause of death in children older than 1 year of age. Most fatalities are related to nonuse of child restraints and seat belts. Although using helmets for biking and skating safety is important, it is not the priority. Special locks for cabinets are important in the prevention of poisoning, but this is not the priority. Topical bug repellant in summer is important for the prevention of Lyme disease. However, this is not the priority.

Explanation: Ophthalmia neonatorum, caused by Neisseria gonorrhea, causes neonatal blindness if left untreated. The nurse should ask the physician for an order to obtain cultures of both eyes so antibiotic treatment can be initiated. Eye discharge isn't normal in a 1-day-old neonate. Neisseria gonorrhea is caused by a gram-negative bacteria, not by a virus.

Explanation: The MMR is a live vaccine. Neither the American Academy of Pediatrics nor the Public Health Agency of Canada recommends routine vaccination with the MMR (either alone or combined with the varicella vaccine) to children younger than 12 months. The DTaP, Hib, and Hep B are all indicated.

Explanation: If 10 mg were administered at 10:00 a.m.

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For one piece of research on this, see The underappreciated role of muscle in health and disease by Robert R Wolfe.

and 12:00 p.m. and then 20 mg were administered at 4:00 p.m., 8:00 p.m., 10:00 p.m., 12:00 a.m., 4:00 a.m., and 8:00 a.m., the dose at 8:00 a.m. reached the maximum oral dose of 120 mg/day.

Explanation: The nurse should first help the client into a position of comfort even though the primary purpose for entering the room was to administer medication. After attending to the client's basic care needs, the nurse can proceed with the proper identification of the client, such as asking the client his name and checking his armband, so that the medication can be administered.

Explanation: In the first trimester, fetal heart sounds are loudest in the area of maximum intensity, just above the client's symphysis pubis at the midline. Fetal heart sounds aren't heard as well below the symphysis pubis, above the umbilicus, or at the umbilicus.

Explanation: Gaining 30 g or 1 oz a day is a normal weight gain pattern for a neonate. Initial weight loss that exceeds 10% of a neonate's birth weight is abnormal. Adding rice cereal to a bottle without a medical indication increases the risk of aspiration and may promote obesity. Doubling of the birth weight typically occurs around 5 months.

Explanation: Refrigeration delays the growth of bacteria in the blood. After the blood is removed from the refrigerator, it must be administered within 4 hours. If the blood is administered too rapidly, within 1 or 2 hours, the client could experience fluid overload. Six hours is too long because the extended time out of refrigeration increases the risk of contamination and growth of bacteria.

Explanation: After TURP, sphincter tone is poor, resulting in dribbling or incontinence. Kegel exercises can increase sphincter tone and decrease dribbling. Voiding every hour will not prevent dribbling or improve sphincter tone. It may take up to 12 months for urinary continence to be regained.

Explanation: Following crush injury, serum potassium rises to high levels. Sodium polystyrene sulfonate (Kayexalate) is a potassium-binding resin. The resin combines with potassium in the colon and is then eliminated. Serum potassium levels should return to normal. Normal serum potassium values are between 3.5 and 5.2 meq/liter (3.5 to 5.2 mmol/l). Weak, irregular pulse and tall peaked T waves on ECG are signs of hyperkalemia, and muscle weakness is a sign of hypokalemia.

Explanation: A nurse who identifies issues involving quality of care must follow the chain of command.

Adverse cardiovascular and central nervous system events associated with dietary supplements containing ephedra alkaloids.

Although there may be a need for an investigation, the nurse shouldn't initiate one without discussion with the nurse-manager. Charts should be reviewed after a formal investigation is established. The nurse's responsibilities include identifying and reporting issues and concerns involving client care.

Explanation: Gauze saturated with petroleum is placed over the site to make an airtight seal to prevent air leakage during the healing process. Dressings with antibiotic ointment or adhesives are not used.

Explanation: ICP is highest in the early morning, and the client with hydrocephalus may be experiencing signs of increased ICP that need to be treated. The increased ICP is not related to fluid levels, and the nurse should not advise the client to increase fluid intake. While ICP does fluctuate during the day, it is highest in the morning and the nurse should notify the physician. Pain medication will not treat the potentially increasing ICP and may mask important signs of increasing ICP.

Explanation: Digoxin enhances cardiac efficiency by increasing the force of contraction and decreasing the heart rate. An early sign of digoxin toxicity is bradycardia (an abnormally slow heart rate). To help detect digoxin toxicity, the nurse always should measure the apical heart rate before administering each digoxin dose. Other signs and symptoms of digoxin toxicity include arrhythmias, vomiting, hypotension, fatigue, drowsiness, and visual halos around objects. Tachycardia, hypertension, and hyperactivity aren't associated with digoxin toxicity

Explanation: The defining characteristic of pernicious anemia, a megaloblastic anemia, is lack of the intrinsic factor which results from atrophy of the stomach wall. Without the intrinsic factor, vitamin B cannot be absorbed in the small intestine and folic acid needs vitamin B for deoxyribonucleic acid synthesis of RBCs. The gastric analysis is done to determine the primary cause of the anemia. An elevated excretion of the injected radioactive vitamin B, which is protocol for the first and second stage of the Schilling test, indicates that the client has the intrinsic factor and can absorb vitamin B in the intestinal tract. A sedimentation rate of 16 mm/hour is normal for both men and women and is a nonspecific test to detect the presence of inflammation; it is not specific to anemias.

In other words, supplements containing garcinia cambogia have not been rigorously tested for effectiveness, quality, purity, or safety.

An RBC value within the normal range does not indicate an anemia.

Explanation: With aplastic anemia, measures to conserve energy and reduce oxygen requirements are key. Therefore, an appropriate goal would be to strive to perform activities of daily living without excessive fatigue or dyspnea. The client needs adequate vitamin B12 in the diet. However, vitamin B12 injections usually are not required. Anticoagulants are contraindicated in clients with low platelet counts, which often occur in aplastic anemia. Aplastic anemia is not contagious. Thus, measures to prevent transmission are inappropriate.

Explanation: An autoimmune disorder characterized by chronic inflammation of the connective tissues, SLE causes fever, weight loss, malaise, fatigue, skin rashes, and polyarthralgia. Nearly half of clients with SLE have facial erythema, (the classic butterfly rash). SLE also may cause profuse proteinuria (excretion of more than 0.5 g/day of protein), pleuritis, pericarditis, photosensitivity, and painless mucous membrane ulcers. Weight gain, hypervigilance, hypothermia, and edema of the legs and arms don't suggest SLE.

Explanation: A decreased hemoglobin is indicative of aplastic anemia. In addition to a decreased hemoglobin and red blood cell count, the client will also have a decreased white blood cell count and decreased platelets. The white blood count is decreased, not elevated. The red blood count is decreased, not elevated. Erythrocyte sedimentation rates are elevated in the presence of inflammation and may be elevated in anemia.

Explanation: APTT is used to measure the clotting status when the client is receiving heparin. The INR is used to measure clotting status in a client receiving warfarin. Prothrombin time (PT) is used to measure clotting status in a client receiving warfarin. Neither heparin nor warfarin affects thrombin time.

The client with pernicious anemia will require lifelong supplementation of vitamin B12, available through injection or nasal spray administration. It must be given in these forms to ensure absorption. Oral vitamin B would not be absorbed because the client lacks the intrinsic factor in the stomach necessary for absorption. Chelation therapy is used to extract metals at toxic levels such as in lead poisoning.

Explanation: The nurse's most appropriate response is one that is therapeutic.

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The basic principle of therapeutic communication and a therapeutic relationship is honesty. Therefore, the nurse needs to explain truthfully that each client is different and that there are various forms of arthritis and arthritis treatment. To state that it is the physician's prerogative to decide how to treat the client implies that the client is not a member of his or her own health care team and is not a participant in his or her care. The statement also is defensive, which serves to block any further communication or questions from the client about the physician. Asking the client to tell more about the friend presumes that the client knows correct and complete information, which is not a valid assumption to make. The nurse does not know about the client's friend and should not make statements about another client's condition. Stating that the drug is for cases that are worse than the client's demonstrates that the nurse is making assumptions that are not necessarily valid or appropriate. Also, telling the client not to worry ignores the underlying emotions associated with the question, totally discounting the client's feelings.