For a client with a partial laryngectomy receiving enteral feedings, what situation should prompt nurse intervention?

A client who has undergone a partial laryngectomy may have specific needs and precautions related to their airway and swallowing function. When a client is in a supine position during enteral feedings, it raises the risk of aspiration. This is particularly important for individuals with compromised airway protection, as the likelihood of food or liquid entering the airway is significantly increased when they are lying flat. Such a position can also affect the gravity flow of the enteral feedings, potentially leading to backflow and complicating their respiratory status.

In contrast, other situations presented do not typically warrant immediate nursing intervention. Watching television is a common activity for many patients; it does not interfere with the feeding process or pose a risk. Receiving enteral feedings at a rate of 80 ml/hr is within a normal range depending on the prescribed plan, and feeling hungry is a natural sensation that many patients experience, indicating their metabolic needs are not fully met; it is not an immediate concern that requires intervention.