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?

C. COCs increase the risk of DVT, particularly in clients with additional risk factors such as obesity, smoking, or a personal or family history of blood clots. Leg tenderness, especially if accompanied by swelling, redness, or warmth, should be reported immediately for evaluation and possible discontinuation of COCs.A. Mild to moderate cramps are expected with COCs and are usually managed with supportive measures or over-the-counter pain relief. They do not typically warrant immediate reporting unless they are severe or accompanied by other symptoms.B. While abdominal bloating is common and often not serious, severe or persistent bloating could indicate a more significant issue such as gastrointestinal problems or ovarian cysts. If severe or accompanied by other concerning symptoms, it should be reported promptly.D. Mild nausea is generally expected and often improves over time. However, severe or persistent nausea, particularly if accompanied by vomiting, can indicate serious complications such as liver problems or ectopic pregnancy (if sexually active). It should be reported promptly for further evaluation.