A client receives a prescription for progesterone 15 mg IM daily. The medication is labeled "Progesterone 50 mg/ml." How many ml. should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

Rationale:
A. This option is incorrect because clamping the catheter during a bath is unnecessary and potentially harmful. Clamping can cause urine to back up in the bladder, increasing the risk of urinary tract infection (UTI) and bladder discomfort. Tub baths also carry a higher risk of slips and falls, especially in clients who are ambulatory but may still be weak or unsteady after hospitalization.

B. This option is incorrect because a sponge bath in bed or in a chair is more restrictive and may undermine the client’s sense of independence and dignity. It is often used when clients are non-ambulatory or medically unable to safely shower, which is not the case for this client.

C. This option is incorrect because simply encouraging self-care without providing supervision or instructions for catheter management is inadequate. The client may inadvertently contaminate the catheter insertion site or dislodge tubing, which could lead to infection or injury. Proper guidance is essential to maintain hygiene while protecting catheter function.

D. This option is correct because keeping the indwelling catheter intact during a shower maintains continuous drainage, prevents urine backflow, and reduces infection risk. The PN can assist the client by ensuring the catheter tubing and collection bag are secured and kept dry. This approach also respects the client’s autonomy, supports independence, and meets the client’s goal of personal hygiene while maintaining safety and catheter care standards. This method aligns with evidence-based practices for managing indwelling urinary catheters during hygiene activities.

Rationale:
A. Degree of interference with sexual relationships is incorrect because while this may be relevant later, it is not the primary concern when assessing the impact of urinary incontinence on daily life.

B. Number of urinary tract infections in the last 12 months is incorrect as this is more related to risk factors and complications, not the current functional impact of incontinence.

C. Information on how the problem impacts lifestyle is correct because urinary incontinence affects quality of life, social interactions, and activities of daily living. Understanding the lifestyle impact helps the PN plan individualized interventions, provide education, and refer to appropriate support or treatment options.

D. Knowledge of companies that deliver incontinence products is incorrect because providing resource information is secondary to assessing the actual impact of the problem on the client’s life.