A nurse is caring for an adolescent client who is pregnant and requires testing for sexually transmitted infections (STIS). The client expresses concern about confidentiality. Which of the following responses should the nurse make?

"As a part of adolescent healthcare, parents and guardians are informed about the status of their children for any healthcare concern."

"Depending on the results of the tests, there are mandated reports that must be made to the local health department."

"You must have a parent present for the procedure, so your parent will be informed about the testing."

"Most states will not allow you to consent to this type of testing without parental involvement."