A nurse is reviewing contraception options for four clients. The nurse should identify which of the following clients as having a contraindication to oral contraceptives?

A 15-year old client who has acne

A client who has a menstrual cycle every 14 days

A client who has a hematocrit of 39% (expected range 37% -47%)

A client who has a blood pressure of 146/92 mm Hg