The nurse is interviewing an adolescent client. The client reports a weight loss of 50 pounds over ...

The nurse is interviewing an adolescent client. The client reports a weight loss of 50 pounds over the last 4 months, and reports running at least 5 miles per day. The client asserts that her menarche was 5 years ago.
 
  Her menses are usually every 28 days, but her last menstrual period was 4 months ago. The client denies any sexual activity. Which is the best statement for the nurse to make? 1. Your lack of menses might be related to your rapid weight loss.
  2. It is common and normal for runners to stop having any menses.
  3. Increase your intake of iron-rich foods to reestablish menses.
  4. Adolescents rarely have regular menses, even if they used to be regular.