Final answer:
When preparing to administer an intermittent bolus enteral feeding via a nasogastric tube, the nurse must follow steps that ensure patient safety, aseptic technique, and compliance with institutional protocols.
Step-by-step explanation:
Appropriate actions for a nurse who is preparing to administer an intermittent bolus enteral feeding via a nasogastric tube include verifying the correct placement of the tube prior to the procedure, ensuring the formula is at room temperature, elevating the patient's head to prevent aspiration, using proper aseptic technique to minimize infection risk, and checking facility protocols for administration rates and volumes. After the administration, it's important to flush the tube with water to maintain patency and to check for residual volume according to the specific procedure guidelines. The entire team should be aware of the patient's situation including the name of the procedure, the counts of needles, sponges, and instruments, correct labeling of specimens, and any equipment issues that need to be addressed during the time out before the administration.