Which of the following is listed as a possible contraindication to enteral nutrition support?

• A. POSSIBLY severe pancreatitis
• B. Inability to gain enteral access
• C. High output fistulas
• D. All of the above

Answer: (D)

The key idea is identifying situations where the GI tract cannot safely deliver nutrition. If you can’t gain enteral access, there’s no route to feed through the gut. If a patient has a high-output fistula, large losses through the fistula make enteral feeding impractical and can disrupt balance and healing, so EN is not appropriate. In severe pancreatitis, particularly when the patient is unstable, feeding via the gut can be unsafe or not tolerated, and clinicians may delay EN in that context. Taken together, these scenarios show how each can be a reason to avoid enteral nutrition support, so all of the above are possible contraindications.