Rosdahl’s Textbook of Basic Nursing 12th edition pdf

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Detailed Contents

Table of Contents

Part A Foundations of Nursing

Unit 1 The Nature of Nursing

1 The Origins of Nursing

Nursing’s Heritage

Nursing in the United States

Nursing Insignia

2 Beginning Your Nursing Career

Healthcare: A Multidisciplinary Approach

Types of Nursing Programs

Approval and Accreditation of Nursing Programs

Licensure of Nurses

Theories of Nursing

Roles and Responsibilities of the Nurse

Nursing Organizations

3 The Healthcare Delivery System

Healthcare Trends in the 21st Century

Healthcare Settings and Services

Quality Assurance

Organization and Ownership of Healthcare Facilities

Financing Healthcare

Complementary Healthcare

Consumer Fraud

4 Legal and Ethical Aspects of Nursing

Legal Issues of Nursing Practice

Regulations of Nursing Practice

Advance Directives

Vulnerable Persons

Definitions of Death

Ethical Standards of Healthcare

Clients’ Rights and Responsibilities

Unit 2 Personal and Environmental Health

5 Basic Human Needs

Maslow’s Hierarchy of Human Needs

Nursing’s Relationship to Basic Needs

Overview of Individual Needs

Family and Community Needs

6 Health and Wellness

Health and Wellness

Inconsistencies in Healthcare

Morbidity and Mortality

Finances and Healthcare

Prevention and Healthcare

The Wellness–Illness Continuum

Lifestyle and Risk Factors

Education and Health Promotion

Age-Related Health Concerns

Categories of Disease and Disorders

7 Community Health

Healthcare Worldwide

Healthcare on the National Level

Healthcare at the State Level

Healthcare at the Local Level

The Environment

8 Transcultural Healthcare

Culture, Ethnicity, and Race

Cultural Sensitivity

Culturally Influenced Components

Religious/Spiritual Customs and Traditions

Implementing Culturally Competent Care

Unit 3 Development Throughout the Life Cycle

9 The Family Characteristics of the Family

Family Structure

Influence of Culture, Ethnicity, and Religion

Family Stages

Stress and Family Coping

10 Infancy and Childhood

Concepts of Growth and Development

Developmental Milestones and Developmental Delays

Growth and Development

The Newborn

Infancy:1–12 Months

Toddlerhood:1–3 Years

Preschool:3–6 Years

School Age:6–10 Years

11 Adolescence

Growth and Development Theories

Adolescent Growth and Development

In Practice

12 Early and Middle Adulthood

Erikson’s Adult Growth and Development Theory

Early Adulthood

Middle Adulthood

Transition From Middle Adult to Older Adult

13 Older Adulthood and Aging

Words Related to Aging

Erikson’s Adult Growth and Development Theory

Development in Older Adulthood

14 The End of Life: Death, Dying, Grief, and Loss

The Dying Process

Kübler-Ross Stages of Grief and Loss

Unit 4 Structure and Function

15 Organization of the Human Body

Chemistry and Life

Medical Terminology

Anatomy and Physiology

Body Directions, Areas, and Regions

Structural Levels in the Body

Cells

Tissues

Organs and Systems

16 The Integumentary System

Structure and Function

Skin

Accessory Structures

System Physiology

Protection

Thermoregulation

Vitamin D Production

Maintenance of Healthy Skin

17 Fluid and Electrolyte Balance

Homeostasis

Body Fluids

Fluid and Electrolyte Transport

Fluid and Electrolyte Balance

Acid–Base Balance

18 The Musculoskeletal System

The Skeleton

Vertebral Column

Thoracic (Rib) Cage

The Muscles

Formation Of Bone Tissue

Exercise

Mobility

19 The Nervous System

Structure and Function

Cells of the Nervous System

Divisions of the Nervous System

Transmission of Nerve Impulses

Reflexes

20 The Endocrine System

Structure and Function

System Physiology

21 The Sensory System

The Eye

The Ear

Vision

Hearing

Balance and Equilibrium

Smell

Touch/Tactile Sense

Other Sensations

22 The Cardiovascular System

Structure and Function

Heart

Systemic Blood Vessels

Cardiac Conduction

Cardiac Cycle

Cardiac Output

Blood Pressure

23 The Hematologic and Lymphatic Systems

Blood

Lymph

Blood Circulation

Lymphatic Circulation

24 The Immune System

Structure and Function

Bone Marrow and Lymphocyte Production

Lymphoid Organs

The Mononuclear Phagocyte System

Nonspecific Defense Mechanisms

Specific Defense Mechanisms

Antigen–Antibody Reaction

25 The Respiratory System

Structure and Function

Upper Respiratory Tract

Lower Respiratory Tract

Ventilation

External (Pulmonary) and Internal (Tissue) Respiration

Regulation of Acid–Base Balance

Respiratory Reflexes

Vocalization

26 The Digestive System

Structure and Function

Mouth

Pharynx

Esophagus

Stomach

Small Intestine

Duodenum

Jejunum and Ileum

Large Intestine

Cecum and Appendix

Colon

Rectum and Anus

Accessory Organs

System Physiology

Metabolism

Elimination

27 The Urinary System

Kidneys

Organs of Urine Storage and Elimination

Blood Pressure Regulation

Urine Formation

Characteristics and Composition of Urine

Micturition

28 The Male Reproductive System

Testes

The Ductal System

Scrotum

Penis

Accessory Glands

Hormonal Influences

Sperm Cells and Spermatogenesis

Copulation

29 The Female Reproductive System

Reproductive Organs

Breasts

Hormonal Influences

Egg Cells and Oogenesis

Menstrual Cycle

Female Sexual Response

Unit 5 Nutrition and Diet Therapy

30 Basic Nutrition

Nutrients

Creating the Healthy Diet

Nutrition Across the Lifespan

31 Transcultural and Social Aspects of Nutrition

Regional Preferences

Ethnic Heritage

Cultural Groups

Religious Beliefs and Practices

Vegetarian Diets

Sociocultural Factors

32 Diet Therapy and Special Diets

Helping the Client Meet Nutritional Needs

Serving Food

The Client Who Needs Assistance With Eating

Precautions

Medical Asepsis

Admission

Transfer to Another Unit

Discharge

Leaving the Healthcare Facility Against Medical Advice

Communications Among Healthcare Team Members

46 Vital Signs

The Graphic Record

Assessing Body Temperature

Determining Pulse

Assessing Respiration

Assessing Blood Pressure

Pulse Oximetry

47 Data Collection in Client Care

Medical and Nursing Diagnosis

Factors That Influence Data Collection

The Physical Examination

48 Moving and Positioning Clients

Body Mechanics

Positioning the Client

Joint Mobility and Range of Motion

Using Mobility Devices

Moving an Immobile Client

Using Client Safety Devices

49 Beds and Bed Making

Bed Making

Attachments and Accessories

Special Beds and Mattresses

50 Personal Hygiene

Mouth Care

Routine Eye Care

Ear Care

Care of Hands and Feet

Shaving

Hair Care

Skin Care

Skin Infestations

51 Elimination

Urinary Elimination

Bowel Elimination

Assisting With Toileting

Assisting With Urinary Elimination

Assisting With Bowel Elimination

Nausea and Vomiting

52 Specimen Collection

The Stool Specimen

The Sputum Specimen

Collecting Other Specimens

53 Bandages and Binders

55 Pain Management

Pain

Collection of Client Data About Pain

Pain Management

56 Preoperative and Postoperative Care

Perioperative Care

Preoperative Nursing Care

Intraoperative Nursing Care

Postoperative Nursing Care

57 Surgical Asepsis

Asepsis

Disinfection and Sterilization

Medical and Surgical Asepsis

Sterile Technique (Surgical Asepsis)

Procedures Requiring Sterile Technique

58 Special Skin and Wound Care

Wounds

Special Considerations

Wound Healing

59 End-of-Life Care

Stages of Dying

The Client’s Wishes

Basic Needs, as Related to the Death Experience

Nursing Care of the Dying Client’s Family

Signs of Approaching Death

Care Following the Death of a Client

Feelings of the Nurse

Unit 9 Pharmacology and Administration of Medications

60 Review of Mathematics

Systems of Measurement

The Metric System

Dosage Calculation

61 Introduction to Pharmacology

Legal Aspects

Medication Preparations and Actions

Prescribed Medications

62 Classification of Medications

Interactions Between Food and Medications

Interactions Between Drugs (Drug–Drug Interactions)

Introduction to Drug Classifications

Antibiotics and Other Anti-Infective Agents

Medications That Affect the Integumentary System

Medications That Affect the Nervous System

Medications That Affect the Endocrine System

Medications That Affect the Sensory System

Medications That Affect the Cardiovascular System

Medications That Affect the Blood

Antineoplastic Medications

Medications That Affect the Immune System

Medications That Affect the Respiratory System

Medications That Affect the Gastrointestinal System

Medications That Affect the Urinary Tract

Medications That Affect the Reproductive Systems

63 Administration of Noninjectable Medications

Preparation for Administration

Safety

General Principles of Medication Administration

Enteral Administration Methods

Parenteral Administration Methods

64 Administration of Injectable Medications

Syringes and Needles

Preparations

Intradermal Injections

Subcutaneous (SubQ) Injections

Intravenous Administration

Administration of Intravenous Medications

Venipuncture

Part C Nursing Throughout the Life Cycle

Unit 10 Maternal and Newborn Nursing

65 Normal Pregnancy

Defining Pregnancy as a Normal Process

Healthcare

During Pregnancy

Preparing to Be a Parent

66 Normal Labor, Delivery, and Postpartum Care

Labor and Birth as Normal Processes

Nursing Care During Labor

67 Care of the Normal Newborn

Important Concepts in Newborn Care

Care of the Newborn Immediately After Birth

Characteristics of the Normal Newborn

Care of the Newborn After Delivery

Daily Newborn Care

Nutrition

Discharge

68 High-Risk Pregnancy and Childbirth

Tests to Assess Fetal Status

Interrupted Pregnancy

Maternal Complications During Pregnancy

Existing Disorders Complicating Pregnancy

Disorders Affecting the Fetus

Placental and Amniotic Disorders

Other High-Risk Pregnancies

Complications of Labor and Delivery

Umbilical Cord Complications

Considerations Related to Delivery

Complications of the Postpartum Period

When a Newborn Dies

69 The High-Risk Newborn

Categories of High-Risk Newborns

Nursing Considerations for the High-Risk Newborn

Potential Complications in the High-Risk Newborn

Hemolytic Disease of the Newborn

Intrauterine Disorders: Congenital and Acquired

Infections

Congenital Musculoskeletal Disorders

Neural Tube Defects

Congenital Cardiovascular Disorders

Congenital Gastrointestinal Disorders

Congenital Genitourinary Disorders

Substance Misuse and the Newborn

70 Sexuality, Fertility, and Sexually Transmitted

Infections

Human Sexuality

Infertility

Contraception

Sexually Transmitted Infections

Unit 11 Pediatric Nursing

71 Fundamentals of Pediatric Nursing

Health Maintenance

The Hospital Experience

Basic Pediatric Care and Procedures

Intermediate Pediatric Care and Procedures

Advanced Pediatric Care and Procedures

The Child Having Surgery

72 Care of the Infant, Toddler, or Preschooler

Communicable Diseases

Parasitic Infestations

Trauma

Child Abuse

Skin Disorders

Musculoskeletal and Orthopedic Disorders

Neurologic Disorders

Metabolic and Nutritional Disorders

Disorders of the Eyes

Disorders of the Ears, Nose, Throat, and Mouth

Cardiovascular Disorders

Blood and Lymph Disorders

Respiratory Tract Disorders

Gastrointestinal Disorders

Urinary System Disorders

Reproductive System Disorders

Nutritional Considerations in Young Children

73 Care of the School-Age Child or Adolescent

Communicable Diseases

Skin Disorders

Musculoskeletal Disorders

Endocrine Disorders

Vision Disorders

Gastrointestinal Disorders

Reproductive System Disorders

Sleep Deprivation and Disorders

Eating Disorders

Nutritional Considerations

74 The Child or Adolescent With Special Needs

Disabilities and Disorders

Special Learning Disabilities

Etiology of Disabilities and Disorders

Common Disorders

Unit 12 Adult Care Nursing

75 Skin Disorders

Diagnostic Tests

Common Medical Treatments

Common Surgical Treatments

Acute and Chronic Skin Conditions

Infections

Parasitic Infestations

Sebaceous Gland Disorders

Burns Neoplasms

76 Disorders in Fluid and Electrolyte Balance

Diagnostic Tests

Common Medical Treatments

Maintenance of Fluid Balance

Maintenance of Electrolyte Balance

Maintenance of Acid–Base Balance

77 Musculoskeletal Disorders

Diagnostic Tests

Common Medical Treatments

Common Surgical Treatments

Common Musculoskeletal Disorders

Systemic Disorders With Musculoskeletal

Manifestations

Traumatic Injuries

Trauma Care and Management

Complications of Fractures or Bone Surgery

Neoplasms

78 Nervous System Disorders

Diagnostic Tests

Craniocerebral Disorders

Nerve Disorders

Spinal Cord Disorders

Degenerative Disorders

Inflammatory Disorders

Head Trauma

Neoplasms

79 Endocrine Disorders

Diagnostic Tests

Common Medical and Surgical Treatments

Pituitary Gland Disorders

Thyroid Gland Disorders

Parathyroid Gland Disorders

Adrenal Gland Disorders

Pancreatic Endocrine Disorders

80 Sensory System Disorders

Diagnostic Tests

Common Medical Treatments

Common Surgical Treatments

The Eye and Vision Disorders

Trauma to the Eye

The Ear and Hearing Disorders

Disorders of Other Special Senses

81 Cardiovascular Disorders

Diagnostic Tests

Common Medical Treatments

Common Surgical Treatments

Abnormal Conditions That May Cause Cardiovascular

Disease

Heart Disorders

Blood Vessel Disorders

82 Blood and Lymph Disorders

Diagnostic Tests

Common Treatments

Hematopoietic Stem Cell Transplantation

Hematologic System Disorders

83 Cancer

Cancer Development

Diagnostic Tests

Treatment Modalities for Cancer

Nursing Considerations for Clients With Cancer

84 Allergic, Immune, and Autoimmune Disorders

Diagnostic Tests

Allergies

Immune Disorders

Autoimmune Disorders

85 HIV and AIDS

History of HIV/AIDS

Transmission

Signs and Symptoms of HIV Infection

Acquired Immunodeficiency Syndrome

HIV Exposure Guidelines

86 Respiratory Disorders

Diagnostic Tests

Common Medical Treatments

Common Surgical Treatments

Infectious Respiratory Disorders

Chronic Respiratory Disorders

Trauma

Neoplasms

Disorders of the Nose

Disorders of the Throat

87 Oxygen Therapy and Respiratory Care

Oxygen Provision

The Client Who Is Having Difficulty Breathing

The Client Who Is Unable to Breathe

88 Digestive Disorders

Diagnostic Tests

Common Medical and Surgical Treatments

Disorders of the Mouth

Disorders of the Esophagus

Disorders of the Stomach

Disorders of the Small or Large Bowel

Peritonitis

Disorders of the Sigmoid Colon and Rectum

Disorders of the Liver

Disorders of the Gallbladder

Disorders of the Pancreas

Conditions of Overnutrition and Undernutrition

89 Urinary Disorders

Diagnostic Tests

Urinary Incontinence

Urinary Tract Infections

Inflammatory Disorders

Obstructive Disorders

Urinary Tract Tumors

Urinary Tract Trauma

Renal Failure

90 Male Reproductive Disorders

Diagnostic Tests

Common Medical Treatments

Erectile Disorders

Structural Disorders

Inflammatory Disorders

Neoplasms

91 Female Reproductive Disorders

Diagnostic Tests

Common Surgical Treatments

Disorders Related to the Menstrual Cycle

Structural Disorders

Inflammatory Disorders

Cervicitis

Neoplasms

Unit 13 Gerontologic Nursing

92 Gerontology: The Aging Adult

Geriatric Care Settings

Helping the Older Adult Meet Basic Needs

Helping the Older Adult Meet Emotional Needs

Special Concerns of the Adult Related to Increasing Age

Elder Abuse

93 Cognitive Impairment in the Aging Adult

Cognitive Impairment

Aspects of Dementia

Unit 14 Mental Health Nursing

94 Psychiatric Nursing

Mental Health

Mental Illness

The Mental Healthcare Team

Methods of Psychiatric Therapy

The Client in an Inpatient Setting

Mental Health Nursing Skills

95 Substance Use Disorders

Nursing Care Measures

Detoxification and Recovery

Alcohol Use Disorder

Other Substance Use Disorders

Special Populations

Unit 15 Nursing in a Variety of Settings

96 Extended Care

Extended-Care Options

The Concept of Transitional Care

97 Rehabilitation Nursing

Definitions of Rehabilitation

Rehabilitation and Maslow Hierarchy of Needs

Stages of Adjustment to a Disability

The Rehabilitation Team

Nursing Considerations in Rehabilitation

Activities of Daily Living

The Scope of Rehabilitative Services

Community Resources

Barriers to Rehabilitation

98 Home Care Nursing

Reasons for Home Care

Types of Agencies and Services

Telehealth

Self-Management of Chronic Conditions

Payment for Home Care

Members of the Home Care Team

Nursing Duties in Home Care

Safety for the Home Care Team

Suggestions for Primary Caregivers

99 Ambulatory Nursing

The Role of the Nurse

Types of Ambulatory Facilities

Use of the Electronic Health Record

100 Hospice Nursing

Evolution of the Hospice Movement

The Hospice Concept

Assisting the Hospice Client to Meet Basic Needs

Pain Management

Children in Hospice Programs

When the Client Dies

Part D Your Career

Unit 16 The Transition to Practicing Nurse

101 From Student to Graduate Nurse

Nursing Licensure

Role Transition

Personal Life

102 Career Opportunities and Job-Seeking Skills

Employment Opportunities

Obtaining Employment Information

Job-Seeking Skills

103 Advancement and Leadership in Nursing

Advancement in Nursing

Leadership

Index

UNIT 1 The Nature of Nursing

Learning Objectives

1. Explain how certain events in ancient and medieval times influenced the development of contemporary nursing.

2. Discuss Florence Nightingale’s influence on modern nursing practice.

3. List at least 10 of Florence Nightingale’s nursing principles that are still practiced today.

4. Identify important individuals who contributed to the development of nursing in the United

States.

5. Name some pioneer nursing schools in the United States.

6. List important milestones in the history of practical nursing education.

7. Explain war-related developments in nursing.

8. Discuss current trends that are expected to influence the nursing profession in the 21st century.

9. Describe the importance of nursing insignia, uniforms, and the nursing school pin.

Introduction

ou have chosen to become a nurse. The word nurse derives from the Latin word meaning to nourish. You are embarking on a career that combines scientific principles, technical skills, and personal compassion. Although people have been performing many nursing skills for centuries, nursing in its present form began to emerge only in the 19th - century. Contemporary

nursing continues to evolve as society and its healthcare needs and expectations change. Nursing must continue to adapt to meet society’s goals and to provide needed services in the changing world.

Nursing is a practical and noble profession. It provides a stable career in the ever-changing world of healthcare, with plenty of career options. Individual attributes required to be a nurse include a strong sense of responsibility and the highest standards of integrity. Personal conviction and flexibility are necessary foundations of a nurse. A nurse must be well educated and integrate the art and the science of working with people. Nurses interact with a vast assortment of individuals, including numerous and varied healthcare personnel who have their own fields of expertise. Many of these healthcare fields were originally included in the broader roles and responsibilities of nursing. For example, the nurse was originally responsible for nutrition and diets. Nurses were also responsible for rehabilitative needs of the persons under their care. The role of the nurse became so important to the healthcare system that

the functions of the nurse had to become diverse and specialized to meet fast-growing needs. Many of these duties were broken into specialties that are seen today, such as nutritionist, dietitian, physical therapist, or occupational therapist. As the role of the nurse has evolved, so has the role of the person receiving care. When the physician was the primary manager or leader of health issues, the individual receiving care was typically called a client. During the 20th century, the client became more aware of his or her own health issues. Instead of being a passive participant, the client became a more knowledgeable consumer of healthcare and, as in other service industries, the consumer became a client of the primary care provider, nurse, and healthcare system. In the 21st century, all of these terms are currently used to describe the individual who receives healthcare. This textbook uses the term client because the term client reflects the roles of the nurse who actively interacts with individuals, families, and the healthcare system. In everyday conversations, the terms patient, client, and/or consumer may be heard.

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