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?

Choice A reason: Celiac disease is an autoimmune condition triggered by gluten ingestion. It affects nutrient absorption but does not directly increase aspiration risk during enteral feedings. Choice B reason: Increased gastric motility actually reduces aspiration risk because food moves more quickly through the stomach. Delayed gastric emptying, not increased motility, is associated with aspiration. Choice C reason: Parkinson’s disease is the correct answer because it impairs swallowing and gag reflexes due to neuromuscular dysfunction. Clients with Parkinson’s are at high risk for aspiration when receiving enteral feedings, as they may not adequately protect their airway. Choice D reason: Systemic lupus erythematosus affects multiple organ systems but does not directly impair swallowing or airway protection. It is not a primary risk factor for aspiration during tube feedings.