A charge nurse is educating a group of newly licensed nurses about the case management approach to client care. Which of the following statements by a newly licensed nurse indicates an understanding of the responsibilities of a nurse in case management?

Choice A reason: Candidiasis is not a reportable infection. It is a fungal infection that causes vaginal itching and discharge. It is not a sexually transmitted infection, but it can occur after antibiotic use or hormonal changes.

Choice B reason: Gonorrhea is a reportable infection. It is a bacterial infection that causes genital discharge, pain, and bleeding. It can also spread to other parts of the body and cause serious complications. It is a sexually transmitted infection that can be prevented by using condoms and treated with antibiotics.

Choice C reason: Human papillomavirus is not a reportable infection. It is a viral infection that causes genital warts and cervical cancer. It is a sexually transmitted infection that can be prevented by using condoms and getting vaccinated.

Choice D reason: Trichomoniasis is not a reportable infection. It is a parasitic infection that causes vaginal itching, burning, and odor. It is a sexually transmitted infection that can be treated with antiparasitic drugs.

Choice A reason: Using a pain rating scale to monitor a client's pain level is a task that the nurse can delegate to an assistive personnel, as it does not require clinical judgment or specialized skills. The assistive personnel can report the pain score to the nurse, who can then adjust the pain management plan accordingly.

Choice B reason: Instructing a client on self-administration of a tap water enema is a task that the nurse cannot delegate to an assistive personnel, as it requires teaching and evaluation skills. The nurse should instruct the client on the procedure, the rationale, and the expected outcomes, and assess the client's understanding and ability to perform the task.

Choice C reason: Performing a dressing change on a client's peripherally inserted central catheter is a task that the nurse cannot delegate to an assistive personnel, as it requires sterile technique and infection control skills. The nurse should perform the dressing change according to the facility protocol, and monitor the site for any signs of complications.

Choice D reason: Suctioning a client's long-term tracheostomy is a task that the nurse cannot delegate to an assistive personnel, as it requires advanced airway management skills. The nurse should suction the client's tracheostomy as needed, and observe the client for any signs of respiratory distress.