In the context of adolescent health, which assessment finding requires follow-up by the nurse?

Foul-smelling vaginal discharge is a significant finding that requires follow-up by the nurse, as it may indicate an underlying infection or other health issue that needs to be addressed. In adolescents, changes in vaginal discharge can be associated with sexually transmitted infections (STIs), bacterial vaginosis, or other gynecological concerns. Assessing the characteristics of the discharge, along with any associated symptoms, allows for appropriate diagnosis and treatment. Prompt evaluation is essential to prevent complications and to provide education on sexual health.

Other findings listed may not necessitate immediate follow-up. For instance, being accompanied by another adolescent does not indicate any health concern and may simply reflect social support. Some pain during urination can warrant assessment but might be less urgent if it is mild and accompanied by other factors that indicate a non-serious condition, such as recent sexual activity without proper lubrication. Lastly, not using oral contraceptives speaks to personal choice regarding birth control, and while it could indicate a need for further discussion about sexual health and contraception, it doesn't pose an immediate health risk that requires urgent intervention.