Which findings in an adolescent client should require further evaluation?

The presence of vaginal discharge, abdominal pain, and sexual activity in an adolescent client warrants further evaluation because these findings may indicate a potential reproductive or sexually transmitted infection (STI) or other gynecological issues. Vaginal discharge can vary widely, and if it is accompanied by abdominal pain, it raises concerns for conditions like pelvic inflammatory disease (PID) or an ectopic pregnancy, especially in sexually active adolescents. The combination of these symptoms highlights a need to assess the client for infections or other complications that may require prompt medical intervention.

Other findings, while they may indicate some level of concern, do not necessitate immediate further evaluation in the same way. Abdominal pain with fatigue and recent menstrual history could relate to a common menstrual cycle issue, while vulvar edema with temperature and headache may suggest an infection but doesn’t explicitly link to reproductive health concerns as clearly as the combination in option B. Menstrual regularity and breast tenderness typically relate to normal physiological changes and would not typically trigger the same level of concern as the other scenarios presented.