The nurse is determining whether an order for a nasogastric tube feeding is appropriate. Which patient diagnosis would prevent the nurse from initiating a tube feeding?
a. Septicemia
b. Pancreatitis
c. Gastric ileus
d. Head trauma
C
Gastric ileus, or gastroparesis, is a contraindication to nasogastric tube feedings because infused formula into the stomach is likely to remain in the stomach and accumulate. This increases the risk of aspiration and endangers the patient's airway. The duty the nurse owes the patient is to withhold a tube feeding until bowel sounds are present. Pancreatitis, sepsis, and head trauma are indications for tube feedings as long as the patient has peristaltic action.
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