Final answer:
Pancreatic insufficiency is not a contraindication to nasogastric feedings in patients with cystic fibrosis; instead, it often requires long-term nutritional support, which may include nasogastric feedings. Chronic sinusitis and chronic otitis, which are complications associated with CF, may represent contraindications due to infection risks.
Step-by-step explanation:
The question asks which of the following is NOT a contraindication to nasogastric feedings in a pediatric patient with cystic fibrosis (CF): 1) chronic sinusitis, 2) chronic otitis, 3) pancreatic insufficiency, 4) need for long term nutrition support. In cystic fibrosis, patients can suffer from thickened mucus that may cause clogged airways, recurrent respiratory infections like chronic sinusitis and otitis, and digestive issues due to pancreatic insufficiency. However, pancreatic insufficiency is not a contraindication for nasogastric feedings; in fact, nutritional support, which may include nasogastric feedings, is typically needed for long-term management of the disease to address malabsorption issues related to pancreatic insufficiency. Hence, the correct answer is 3) Pancreatic insufficiency; it is NOT a contraindication to nasogastric feedings.
Regarding other options, chronic sinusitis and chronic otitis may represent contraindications to nasogastric feedings because of the risk of infections and potential complications. The need for long term nutrition support, on the other hand, often necessitates the use of nasogastric feedings in CF patients. This is to ensure that nutritional requirements are met, despite the complications such as mucus buildup in the digestive system.