Which of the following is a disadvantage of bolus type feedings?

Bolus type feedings involve delivering a specific volume of formula or nutrition at set intervals, mimicking a more natural eating pattern. However, one significant disadvantage associated with this method is the potential increase in the risk for aspiration. Aspiration occurs when food or liquid enters the airway instead of the esophagus, which can lead to serious complications such as pneumonia and respiratory distress.

In bolus feedings, if the patient is unable to swallow safely due to various medical conditions or if there is a delay in gastric emptying, they are at a higher risk of aspirating the feed directly into the lungs. This risk is heightened if the patient is fed while lying down or if the bolus volume is too large for their ability to handle the feed effectively.

The other choices highlight benefits or neutral aspects of bolus feeding. Increased patient mobility and a flexible schedule are advantages that can contribute to a better quality of life for patients receiving enteral nutrition. The physiologic method of feeding reflects an approach that aligns with natural eating patterns, but it does not outweigh the concerns related to the risk of aspiration that can arise with this feeding method.