A nurse is caring for a client who has end-stage liver disease and is being placed on a transplant list. Which of the following statements by the client is the priority for the nurse to report to the provider?

A. A family history of diabetes mellitus is important but not urgent or disqualifying for a transplant. B. Lack of family support can be addressed with counseling and support services but is not an immediate medical concern. C. A childhood history of asthma is generally not a contraindication for transplant unless it’s currently active and severe. D. Nonadherence to prescribed medication is a priority concern because strict adherence to immunosuppressive therapy is critical after transplant to prevent organ rejection. This statement raises concern about the client’s ability to manage post-transplant care and must be reported for further evaluation.