A prepubescent client who is a gymnast trains for many hours every day and is concerned about eating a nutritious diet. Which is the best response by the nurse?
a. "You should probably quit."
b. "You just need to eat three good meals every day."
c. "If you don't eat enough, you have a higher risk of developing bone cancer."
d. "Could we talk about some of the barriers that prevent you from eating well?"
d. "Could we talk about some of the barriers that prevent you from eating well?"
This client has a busy schedule and little time to eat adequate amounts of food and nutrients. This client has a higher risk of developing osteoporosis, stress fractures, injuries, and a delayed onset of puberty. The client does not have a higher risk of developing bone cancer. The nurse needs to explore the client's issues that may prevent eating a nutritious diet and then suggest some ways to improve the intake of food and nutrients. This client should snack more often because of not being able to sit down to eat three meals each day. At this stage, there is no reason to suggest that the young athlete should quit the sport.
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