A nurse is providing education about physical activity to an adolescent who has beta thalassemia. Which of the following statements by the adolescent indicates that the education was effective?

A. While some individual sports may be tolerated, high-intensity endurance sports like track or cross country can increase fatigue and risk of complications in adolescents with beta thalassemia, particularly if they have anemia or decreased oxygen-carrying capacity. B. Complete avoidance of physical activity is unnecessary and counterproductive. Exercise is beneficial for bone health, cardiovascular fitness, and overall well-being, as long as it is low-impact and tailored to the child’s condition. C. Low-impact activities are safe, improve cardiovascular fitness, maintain muscle strength, and reduce fatigue, and they minimize risk of injury or stress on bones, which can be compromised in beta thalassemia. This statement reflects an understanding of appropriate, safe exercise for the condition. D. High-contact or high-intensity sports may pose risks for fractures, fatigue, or complications, and protective gear does not eliminate these risks. Exercise must be adapted to the child’s physical limitations and overall health status.