HESI management of care Already Passed!!

Which are the priority nursing actions after the completion of the secondary survey when providing care for a trauma client with a penetrating wound? Select all that apply. 1 Documenting the client's care 2 Formulating the client's plan of care 3 Reassessing the client's level of consciousness 4 Administering tetanus prophylaxis to the client 5 Transferring the client to the general medical unit - Documenting the client's care Administering tetanus prophylaxis to the client The priority nursing actions after completion of the secondary survey during the emergency assessment include documenting all client care and administering tetanus prophylaxis. Formulating the client's plan of care, reassessing level of consciousness, and transferring the client to the general medical unit are nursing actions implemented once the client is stable. The registered nurse is teaching a group of nursing students about leadership principles. Which statement made by a nursing student indicates the need for further teaching? 1 "A leader has a formal position." 2 "A leader intervenes with courage." 3 "A leader organizes a group of colleagues." 4"A leader is a specific management position after promotion." - "A leader has a formal position."