Which of the following clients are at risk of developing folic acid deficiency anemia? Select all that apply

Question

A) A vegetarian who consumes no meats but gets protein from nuts/legumes
B) A HIV-positive client who consumes "green juice" at least twice/day made with organic fruits and vegetables
C) An elderly male with poor dietary habits who drinks approximately five alcoholic beverages/day
D) A pregnant client with prolonged morning sickness lasting most of the day with nausea and frequent vomiting noted
E) A toddler who wants to eat chicken nuggets and French fries but refuses to eat anything green

Answer 1

Ans: C, D
Feedback:
Folic acid is readily absorbed from the intestine. It is found in vegetables (particularly the green leafy types), fruits, cereals, and meats. Much of the vitamin, however, is lost in cooking. The most common causes of folic acid deficiency are malnutrition or dietary lack, especially in the elderly or in association with alcoholism. Because pregnancy increases the need for folic acid 5- to 10-fold, a deficiency commonly occurs. Poor dietary habits, anorexia, and nausea are other reasons for folic acid deficiency during pregnancy. Studies have shown an association between folate deficiency and neural tube defects.