The nurse is caring for a 16-year-old girl recently hospitalized. She is slender but does not appear abnormal. Which of the following statements should require further assessment?

I exercise 3.5 hours a day


•All of these statements should cause at least mild suspicion from the nurse. However, the most concerning is that she exercises 3.5 hours per day. This is not normal, and unless we are given more information that validates the need for this, the nurse should try to figure out why the patient has decided to exercise this much.

•Checking body weight often is normal for a teenage girl. Being 12% below ideal body weight is concerning but it is not considered significant until the patient is 15% below.

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