What indicates a risk for aspiration in a client receiving intermittent tube feeding?

A history of gastroesophageal reflux disease (GERD) is a significant indicator of risk for aspiration in a client receiving intermittent tube feeding. GERD is characterized by the backward flow of stomach contents into the esophagus, which can easily lead to aspiration, especially when a client is in a supine position or if they have an impaired swallowing mechanism.

When tube feeding is administered, especially if it is not properly managed (for example, if the head of the bed is not elevated during and after feeding), the risk of reflux increases. This can cause the contents to enter the airway, resulting in aspiration pneumonia or other respiratory complications. Managing the risk factors associated with GERD is crucial when caring for clients who are receiving tube feedings to ensure their safety and prevent potential complications.

The other options, while they may have other health implications, do not directly link to an increased risk of aspiration in the same manner that a history of GERD does.