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 CONSULTANTS AND CONTRIBUTORS, 11TH
EDITION

Amy Fuller, RD
Chief Clinical Dietician
Ridgecrest Regional Hospital
Ridgecrest, California

S. Diane Fairchild, RN, BSN

LPN Instructor
Southwest Technology Center,
Altus, Oklahoma

Judith Miller, RN, BSN, MS

Quality Improvement Specialist
Healthcare Quality Strategies, Inc.
New Brunswick, New Jersey

Rosemary L. Rosdahl, BS, RPh

Pharmacist and Owner, Watertown Pharmacy
Watertown, Minnesota

Paula M. Smith, RN, BSN

Charge Nurse
Pacific Pediatrics
Woodburn, Oregon

JonMikel VanDer Wege, BS

Technology Consultant
St. Louis Park, Minnesota
R EVIEW ER S

Margaret M. Andrews, PhD, RN, CTN, FAAN

Director and Professor of Nursing
School of Health Professions and Studies
University of Michigan – Flint
Flint, Michigan

Deborah Bright Harris, MSN, RN

Practical Nursing Program
Valley Career and Technical Center
Fishersville, Virginia

Fleurdeliz Cuyco, BS
Instructor/Compliance Director
Preferred College of Nursing
Los Angeles, California

Sandra M. Gottschalk, MSN, RN

Hays Campus Dean
North Central Kansas Technical College
Hays, Kansas

Janet Hargrove, RN
Vocational Nursing Instructor
South Plains College
Levelland, Texas

Kathleen Karsten, PhD, RN

Director, Nursing Programs
The City University of New York
LaGuardia Community College
Long Island City, New York

Georgia McDuffie, PhD, RN

Chair and Professor
Medgar Evers College
Brooklyn, New York

Sharon A. Milner, BSN, RN

Assistant Coordinator
Gulf Coast State College
Panama City, Florida

Lauren Mullen

B. Noel Nesbitt, PhD, RN, BSN, CPAd, CM, USAF-FN

Practical Nurse Program Coordinator
Delta College
Covington, Louisiana

Sharon M. Nowak, MSN, RN

Professor of Nursing
Jackson College
Jackson, Michigan

Brenda Pomerenke, MSN, RN

Nursing Instructor/Clinical Coordinator
Minnesota West Community and Technical College
Worthington, Minnesota

Radonna Jane Pratt

Helen Rogers-Koon, MSN, RN

Instructor, Practical Nursing
Central Pennsylvania Institute of Science and Technology
Pleasant Gap, Pennsylvania

Mary Russo, MSN, RN

Professor Nursing
Lincoln Land Community College
Jacksonville, Illinois
Darla K. Shar, MSN, RN
Associate Director
Hannah E. Mullins School of Practical Nursing
Salem, Ohio

Pamela Shultz, MSN, RN

Director of Practical Nursing
Valley Career and Technical Center
Fishersville, Virginia

Russlyn A. St. John, MSN, RN

Professor Emeritus
St. Charles Community College
Cottleville, Missouri

Marie N. Stevens, MS SDL, CSBL, RN

Administrative Coordinator for Health Sciences
Eastern Suffolk BOCES
Brentwood, New York

Katherine S. Sweeney

Karen Tam, MS, RN, BSN

Health Careers and Basic Nursing Teacher
Erie 1 BOCES Harkness Career and Technical Center
Cheektowaga, New York

Rafael Tolentino, PhD

Chief Academic Officer / Curriculum Specialist
Homestead Schools, Inc.
Torrance, California
 PREFACE

Welcome to the Textbook of Basic Nursing, 11th Edition.

Celebrating its 50th anniversary, this textbook has been an
integral part of the education of thousands of practical/vocational
nurses. In fact, it was the rst nursing textbook that included
behavioral objectives that later became the present-day Learning
Objectives. In this textbook, the active, involved participant of
nursing care is identi ed as the client, emphasizing that healthcare
is a service that involves a knowledgeable consumer who makes
personal choices and shares responsibilities relating to personal
health. This textbook takes into consideration that both clients
and nurses need to work in tandem to achieve well-being.
Teaching the client strengthens the overall concepts of nursing
and healthcare.
Textbook of Basic Nursing is a student-friendly, cost-e ective,
all-in-one text that is responsive to the NCLEX-PN Test Plan and
state-mandated curricular requirements. An Overview of the 2014
NCLEX-PN test plan that maps directly to the chapters of this
book is available on Website. We encourage all program
directors and instructors to view this valuable resource located
with the Instructor Resources found on at
http://thepoint.lww.com/Rosdahl11e.
The reading level of Textbook of Basic Nursing is designed to be
understandable to the maximum number of students, including
those for whom English is a second language. Key English-to-
Spanish phrases are included in Appendix A and an audio glossary
is also available on .
NEW TO THIS EDITION
Every e ort has been made to keep up with the constantly
changing world of nursing and its external regulation by various
agencies. All of the descriptive material and nursing procedures
have been updated and new illustrations added. Some chapter
titles, such as Substance Use Disorder and Cognitive Impairment in
the Aging Adult, have been changed to re ect current beliefs and
practice.
Nutrition, discussed in Unit 5, covers the latest government
guidelines and incorporates illustrations of MyPlate and the new
Nutrition Facts Label, which help integrate nutritional concepts for
students and consumers. Nutrition considerations are also
integrated in speci c chapters throughout the text. Additionally,
signi cant content on diet therapy and cultural considerations are
included.
New to this edition are Concept Mastery Alerts, which clarify
fundamental nursing concepts to improve the reader’s
understanding of potentially confusing topics, as identi ed by
Misconception Alerts in Lippincott’s Adaptive Learning Powered
by prepU. Data from thousands of actual students using this
program in courses across the United States identi ed common
misconceptions that are clari ed in this new feature.
In keeping with the NCLEX-PN test plan, the NCLEX-Style
Review Questions that appear at the end of each chapter include
ve new questions that are written at the application or higher
levels of cognitive ability. Answers to the questions, with
rationales that fully explain the correct answer as well as
explanations of why answers are incorrect, are available to
instructors in the Instructor Resources found on at
http://thepoint.lww.com/Rosdahl11e. Instructors may use these
questions as in-class instruction to help students develop the skills
needed to fully apply content and to think through a problem.
 Nursing Procedures appear in a special section at the end of
selected chapters. The mnemonic LPN WELCOME has been
updated and highlights important rst steps that must occur
before performing each procedure, and the mnemonic ENDDD
serves as an important memory aid for nal steps that must
always be performed with each procedure.
The Appendices summarize useful and important aspects of
medicine and nursing. They have been moved to Website
to allow students to print and use them when needed. A
bibliography of references used to update this text is also
available on Website and o ers valuable resources for
further study.
TEXT ORGANIZATION
Instructors and students will appreciate the logical design and
simple format of this book. Textbook of Basic Nursing is divided
into four main parts. Students will learn about the foundations of
nursing, nursing care skills, and nursing throughout the life cycle.
The book then examines the various settings and job
opportunities available for the LV/LPN nurse.
The parts are organized on a continuum from general or simple
to integrated or complex. General healthcare issues and basic
sciences introduced early in the book lead to the more complex
and speci c healthcare topics in later units. Normal anatomy and
physiology provide the basis of comparison for abnormal
etiologies in diseases and disorders.
Some critical topics as well as topics that may be on the
NCLEX-PN examination such as Maslow’s Hierarchy of Needs,
Erikson’s Life Span Stages, and Kübler-Ross Stages of Death and
Dying, are discussed individually as well as being integrated
within speci c subject areas. Crucial contemporary points such as
privacy legislation, requirements of regulatory agencies, Standard
Precautions, disposal of hazardous wastes, prevention of disease,
electronic and traditional documentation, and nutrition are
thoroughly discussed as well.
As the role of the LV/LPN is expanding in many settings, Unit 9
presents chapters relating to Pharmacology and
Administration of Medications.
Nursing throughout the life cycle is covered in units 10 through
13, in which topics such as the etiologies and disorders of
anatomy and physiology are combined with pediatric and adult
medical-surgical nursing. These units provide information relating
to the onset of diseases and disorders, diagnostic testing and
procedures, treatment, pertinent medications, and nursing
considerations. Changes relating to aging for each faction of the
body systems are presented in Unit 4 and Unit 13, Gerontologic
Nursing, visits the complexities of de ning aging and the issues
of geriatrics.
Speci c chapters with comprehensive information are also
dedicated to the topics of mental health nursing and substance use
disorders.
Many community settings are providing employment for
growing numbers of practical/vocational nurses. The chapters in
Unit 15 address and compare the situations and nursing needs for
areas such as Extended Care, Rehabilitation Nursing, Home
Care Nursing, Ambulatory Healthcare, and Hospice Nursing.
The graduating nurse obtains valuable information in the nal
unit of the book relating to employment opportunities in many of
these areas, as well as in acute care settings. A separate chapter
on Career Opportunities and Job-Seeking Skills is included.
Components of teamwork, leadership, and supervision are
emphasized in speci c chapters, as well as integrated throughout
the text. The units in the book combine to provide a
comprehensive education for the practical/vocational nurse.
SPECIAL FEATURES
The 11th edition of Textbook of Basic Nursing contains numerous
pedagogical features to help focus and enhance student learning.
The section, Using Textbook of Basic Nursing, 11th edition
highlights the important “In Practice” features found in the text.
Each chapter opens with Learning Objectives, Important
Terminology, and Acronyms that provide a general overview of
important content. The Student Synthesis section, which appears
at the end of each chapter, contains Key Points, Critical
Thinking Exercises, and NCLEX-Style Review Questions to
help students integrate and summarize the content of each
chapter. The Critical Thinking Exercises are designed for in-class
discussions or individual student essays. Instructors may also use
the NCLEX-Style Review Questions as in-class instruction to help
students develop the skills needed to fully apply content and to
think through a problem.
Additional features include:
• NCLEX Alerts that appear throughout the chapters providing
practical ideas designed to help the student consider how
chapter content might be used in a variety of NCLEX situations.
• Concept Mastery Alerts that clarify common misconceptions as
identi ed by Lippincott’s Adaptive Learning Powered by prepU.
• Special Considerations that highlight key culture, lifespan,
homecare, or nutrition information.
STUDENT AND INSTRUCTOR RESOURCES
Textbook of Basic Nursing includes a wide variety of resources for
students and instructors to enhance the teaching/learning
experience. All resources are available at
http://thepoint.lww.com/Rosdahl11e.
Student Resources
Student resources are free to students who purchase a new copy
of Textbook of Basic Nursing, 11th Edition. Simply use the one-
time activation code in the front of the book to discover a wealth
of information and activities.
Appendices
Bibliography
Spanish-English Audio Glossary
Nursing Professional Roles and Responsibilities
Web Resources
Learning Objectives
Journal Articles
NCLEX-Style Chapter Review Questions
Procedure Checklists
Animations
Heart and Breath Sounds
Watch and Learn Videos
Practice and Learn Activities
Dosage Calculation Quizzes
Instructor Resources
The following resources are available on
http://thepoint.lww.com/Rosdahl11e for instructors who adopt
Textbook of Basic Nursing, 11th Edition.
Overview of the 2014 NCLEX-PN test plan map
Teaching Notes for Instructors
Syllabi
Strategies for E ective Teaching
Image Bank
PowerPoint Presentations
Guided Lecture Notes
Discussion Topics and Answers
Assignments and Answers
Case Studies and Answers
Pre-Lecture Quizzes and Answers
Test Generator Questions
Answers to NCLEX-Style Questions in the book
Answers to For-Sale Workbook
 USING TEXT BOOK OF BASIC NURSING, 11TH
EDITION

In order to help prepare nurses to practice safely, important

In Practice features are provided.

Nursing Procedures present step-by-step instructions.

Educating the Client includes essential information for teaching clients.

Nursing Care Guidelines summarize important nursing considerations.

Important Medications inform about key medications for a specific

disorder.
Data Gathering in Nursing offers important points in data collection.

In addition, Nursing Alerts, Key Concepts, and NCLEX Alerts

ensure that students obtain critical information to help them safely
practice nursing as an LV/LPN.
Nursing Care Plan presents a sample care plan and its application.

Nursing Process uses the steps of the nursing process to guide the nurse in
his or her data collection.
 ACKNOWLEDGMENTS

Some of the special people who have helped in the completion of

this work include:
• Mary Kowalski, who was again willing to co-author the book.
She, as always, added pertinent content and detail and was very
mindful of accuracy and current practices. In addition, she
added suggestions and content for ancillaries, as well as
educational opportunities, that will make learning easier and
more e ective for both students and instructors.
• The editors and sta of Wolters Kluwer, who spent untold hours
assisting us in this endeavor.
• Florence Dakin and Ella M. Thompson the authors of Simpli ed
Nursing which served as the predecessor to Textbook of Basic
Nursing.
• My family and friends, and my employer, Hennepin County
Medical Center, who showed great patience, love, and
helpfulness during this process.
• My husband, Ron Christensen, who assumed responsibility for
additional household chores and supplied moral support,
deserves special mention.
• My friend Mary Gartamaker, who came to my rescue when I
had computer problems. And Mary provided housekeeping
services too!
• My kitty, Little Orphan Annie, provided companionship and a
great deal of purring.
• My three bands provided me with needed recreation and
diversion and allowed me to haul around a large tenor
saxophone!

Caroline Bunker Rosdahl

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