What is a common manifestation of dysphagia that a nurse should look for in clients with swallowing difficulties?

Coughing during meals is a common manifestation of dysphagia, or difficulty swallowing. When individuals have dysphagia, they may struggle to move food or liquid from the mouth to the esophagus properly. This can result in food or liquid entering the airway instead of the esophagus, leading to coughing as a reflex to clear the airway and prevent aspiration. Observing coughing during meals can provide important clinical information and indicates that the client may need intervention to ensure safe swallowing.

The other manifestations listed can occur for various reasons and may not specifically indicate dysphagia. Excessive salivation can result from multiple conditions, not just swallowing difficulties. Difficulty breathing could suggest a more urgent respiratory issue. Frequent vomiting might indicate gastrointestinal problems unrelated to swallowing. Thus, coughing during meals is a clear and direct sign of potential dysphagia that a nurse should prioritize in assessment.