Brunner & Suddarth's Textbook of Medical-Surgical Nursing 13th Edition by Kerry Cheever, Janice Hinkle

Exercise 1

You are a new graduate practicing on a medical inpatient unit where change ofshift report is given at the bedside to include the patient and family.This approachprovides a valuable opportunity for you to observe patients and include them in theplan of care.Many patients on this unit are admitted with HF.What key physicalassessment findings and laboratory data that indicate improvement in the patient'scondition need to be discussed during report? What findings might suggest that thepatient's condition is worsening? What questions would you ask the patient andfamily members to help you assess their understanding of HF self-management?Because you have limited time to conduct beside report, how will you prioritize theinformation that you need to hand off to the oncoming nurse?