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    ATI Dosage calculation lpn maternal newborn proctored assessment 3.2

    A nurse is reviewing a client's new prescription for clindamycin 5 g vaginal qhs for 7 days for group B streptococcus. The nurse should clarify which of the following components of the prescription?

    Explanation & Rationale

    A) Frequency: The frequency in this prescription is specified as "qhs" (every night at bedtime), which is a standard and appropriate frequency for this type of treatment. There is no issue with the frequency, as it aligns with common treatment regimens for vaginal infections. B) Route: The prescribed route for clindamycin is vaginal, which is unusual for antibiotics, as they are typically given orally or intravenously. However, clindamycin can be used vaginally for the treatment of infections such as group B streptococcus during pregnancy. The nurse should clarify the route to ensure that this is the intended administration method, especially considering that clindamycin is more commonly prescribed for oral or IV use. C) Dosage: The dosage of 5 g is appropriate for vaginal clindamycin treatment for group B streptococcus and falls within typical guidelines for this type of therapy. Clindamycin vaginal suppositories or creams are usually dosed in the range of 5 g, making the dosage correct. D) Medication: Clindamycin is a suitable antibiotic for treating group B streptococcus infections, including when administered vaginally. It is frequently used for such purposes, especially in pregnant women, to prevent neonatal transmission during labor.

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