A nurse is caring for a client who is receiving enteral feedings via a nasogastric tube. Which of the following conditions places the client at risk for aspiration?

A. Systemic lupus erythematosus: SLE primarily affects connective tissue and organs through inflammation but rarely impacts the neuromuscular coordination needed for swallowing. It does not significantly raise aspiration risk during enteral feeding. B. Increased gastric motility: Increased gastric motility helps clear stomach contents more quickly, decreasing the chance of regurgitation and aspiration. It is not typically considered a risk factor for aspiration. C. Parkinson's disease: Parkinson’s disease impairs muscle coordination, including muscles used for swallowing. This dysphagia increases the risk of aspiration, especially with liquid feedings via a nasogastric tube. D. Celiac disease: Celiac disease affects the small intestine’s ability to absorb nutrients but does not interfere with the swallowing reflex. It does not increase the risk of aspiration with tube feedings.