An 80-year-old woman has chronically low hemoglobin despite a diet high in iron. The primary care nurse practitioner (NP) will perform laboratory tests to confirm a diagnosis and should suspect the patient will need:
a. omega-3 supplements.
b. a folic acid supplement.
c. a daily multivitamin with iron.
d. a diet high in green, leafy vegetables.
B
Women and elderly adults are often at risk for folic acid deficiency leading to anemia because folic acid is necessary for synthesis of hemoglobin. Folic acid supplements are indicated. Omega-3 supplements are not indicated for anemia. If anemia is caused by iron deficiency alone, iron supplements must be used, which have more iron than a multivitamin with iron. Folic acid supplements are more effective than dietary folic acid.
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