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The nurse in the outpatient clinic prepares a client for a pap smear. The client's only significant history is hypertension, for which the client takes an anti-hypertensive medication daily. It is most important for the nurse to follow-up on which client statement?

1. "I haven ’t had a pelvic exam in 3 years."
2. "Black cohosh helps my hot flashes."
3. "I exercise eight times per week."
4. "I don ’t like my partner using a condom."