The following nursing interventions represent each of the four steps of a nutritional assessment. Rank them in order, beginning with the first step
A. Measure the midpoint of the upper arm.
B. Obtain blood for serum transferrin level.
C. Examine the lips, gums, and oral cavity.
D. Ask for an up-to-date list of medications.
D, C, A, B
The first step in a nutritional assessment is to interview the older adult to obtain a health and nu-tritional history, including an up-to-date list of medications and an overview of daily food habits and resources for obtaining food. The second part of the assessment includes a physical exami-nation to gather data about the older adult's current state of health. The third part of the assess-ment includes anthropomorphic measurements such as height, weight, midarm circumference, and triceps skinfold thickness. The biochemical examination is the final step and includes the prealbumin, transferrin, hemoglobin, and cholesterol levels.
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