A nurse is assisting in planning care for a 16-year-old client in a pediatric clinic. Which of the following actions would be a breach of confidentiality?

A. Reviewing the results of the client's urinalysis with their parents, without the client's consent: Routine urinalysis results are generally considered part of standard adolescent care and may be shared with parents depending on the clinic policy and state laws, so this may not necessarily breach confidentiality. B. Reviewing the results of the client's celiac screening with their parents, without the client's consent: Celiac screening is part of general health testing and usually does not fall under sensitive health information; sharing these results with parents is typically permissible in pediatric care. C. Reviewing the results of the client's complete blood count (CBC) with their parents, without the client's consent: A CBC is standard lab work and does not usually involve sensitive information, so sharing results with parents is generally acceptable and not considered a breach of confidentiality. D. Reviewing the results of the client's chlamydia screening with their parents, without the client's consent: STI testing is considered confidential for adolescents, and sharing these results without consent violates privacy laws and ethical guidelines. Protecting confidentiality encourages adolescents to seek care and be honest about sexual health.