A nurse is assessing a client who is taking combination oral contraceptives. Which of the following findings should the nurse report to the provider immediately?

A. Nausea: Nausea is a common and usually mild side effect of combination oral contraceptives, especially during the first few months. It typically does not require medical intervention unless persistent or severe. B. Cramps: Mild cramping can occur due to hormonal changes caused by oral contraceptives. It is generally not considered serious and often resolves with continued use or symptomatic management. C. Abdominal bloating: Abdominal bloating may occur as a hormonal side effect and is not unusual. While uncomfortable, it is not a sign of a serious complication unless accompanied by other concerning symptoms. D. Leg tenderness: Leg tenderness may indicate a developing deep vein thrombosis (DVT), a serious and potentially life-threatening complication of oral contraceptives due to increased clotting risk. It requires immediate evaluation by the provider.