A female client with metastatic endometrial cancer receives a prescription for medroxyprogesterone acetate 600 mg IM weekly. The medication vial is labeled, "400 mg/mL." How many mL should the practical nurse (PN) administer? (Enter numeric value only. If rounding is required, round to the nearest tenth).

A. Understanding what the voices are saying is the most important initial step in assessing auditory hallucinations. This information helps the PN gauge the content of the hallucinations, which is crucial for developing a treatment plan and determining the level of risk to the client or others.
B. While knowing when the voices are most disturbing provides useful information for managing symptoms, it is less critical than understanding the content of the hallucinations for developing an initial treatment plan.
C. Assessing how the client copes with the voices is important for ongoing management but comes after understanding what the voices are saying. Coping strategies can be developed based on the nature of the hallucinations.
D. Determining which medication works best is not an immediate priority during the initial assessment. Medication effectiveness will be evaluated over time rather than being a primary focus during the first report of hallucinations.

1. Clean the site using sterile gauze and sterile water.
   • Indicated: The turban dressing should be changed using sterile techniques to prevent infection and ensure proper wound care.
2. Place client in a private room.
   • Not Indicated: The client is already on contact precautions for MRSA, so the private room is a general requirement and not a specific intervention for the dressing change.
3. Avoid hand sanitizer after the procedure.
   • Not Indicated: Hand sanitizer is typically used before and after procedures. For MRSA contact precautions, hand hygiene is critical, and proper hand washing or using hand sanitizer is recommended after the procedure.
4. Place the soiled dressing in a red biohazard bag.
   • Indicated: The soiled dressing is considered contaminated and should be disposed of in a red biohazard bag to prevent the spread of infection.
5. Use sterile gloves to remove the old dressing.
   • Indicated: Sterile gloves are required for removing and replacing the dressing to maintain a sterile field and prevent infection.