A nurse is reinforcing teaching about sexual activity during pregnancy for a client in a monogamous, same-sex relationship. Which of the following statements should the nurse make?

A. Sputum characteristics. The presence of blood-tinged sputum raises concern for tuberculosis (TB) or another serious pulmonary condition, requiring further evaluation. Hemoptysis can indicate active infection or cavitary lung disease.
B. Respiratory complaint. The client reports a persistent, productive cough, night sweats, and fatigue, which are hallmark symptoms of TB. These symptoms, combined with recent travel to a TB-endemic region, increase the likelihood of infection and warrant further assessment.
C. Blood pressure. The client’s blood pressure is within the normal range and does not indicate an immediate concern requiring further evaluation.
D. Heart rate. A heart rate of 98/min is elevated but still within an acceptable range for mild illness or fever. While tachycardia can be associated with infection, it is not the most critical finding requiring urgent follow-up.
E. Temperature. A temperature of 38.1°C (100.5°F) indicates a low-grade fever, which is a common sign of TB or other infections. Given the client's symptoms and history, this finding warrants further investigation.
F. Travel history. The client recently traveled to South Africa, a region with a high prevalence of TB. Travel history is a crucial factor in determining TB risk and must be considered in the diagnostic process.
G. Oxygen saturation. The client’s oxygen saturation is 98% on room air, which is within normal limits and does not require further evaluation at this time.

• Urticaria: Present in latex allergy, as hypersensitivity reactions to latex can cause pruritic hives due to histamine release.
• Hypercapnia: Present in malignant hyperthermia, as it results from uncontrolled skeletal muscle contractions leading to excessive carbon dioxide production.
• Wheezes: Present in latex allergy due to bronchoconstriction and airway hypersensitivity, which can lead to respiratory distress.
• Muscle rigidity: Present in malignant hyperthermia, as sustained muscle contractions occur due to excessive calcium release in skeletal muscles.
• Tachycardia: Present in both malignant hyperthermia and hypovolemic shock. Malignant hyperthermia causes tachycardia due to increased metabolic activity and hypercapnia, while hypovolemic shock results in tachycardia as a compensatory mechanism for reduced circulating volume.