Which of the following is NOT a contraindication to nasogastric tube feedings?

• A. Upper airway secretions
• B. Nasal polyps
• C. Recurrent sinusitis or otitis
• D. Need for short-term nutrition support

Answer: (D)

The main idea is that nasogastric tube feeding is used for short-term enteral nutrition when the nasal route is feasible and safe. The statement that is NOT a contraindication is the need for short-term nutrition support itself—this is exactly what NG feeding is used for.

Nasopharyngeal issues like nasal polyps can block or complicate passage of the tube through the nasal route, making placement risky or difficult. Recurrent sinusitis or otitis signals ongoing nasal or sinus disease, which can increase infection risk or discomfort with nasal instrumentation and may lead clinicians to consider an alternative route. Upper airway secretions reflect current airway pathology and potential aspiration risk, which also makes the nasal route less ideal.

So, needing short-term nutrition support is not a contraindication; it’s the indication for using a nasogastric tube. When the nasal route isn’t suitable, alternatives such as an orogastric tube or another method of feeding would be considered.