Which of the following is NOT a sign of possible aspiration during feeding?

• A. Coughing
• B. Voice changes
• C. Wheezing
• D. Increased appetite.

Answer: (D)

Aspiration signs are clues that food or liquid might be entering the airway rather than the esophagus. Coughing during or after swallowing is a key protective reflex the body uses to try to clear material from the airway. A change in voice quality, such as a hoarse or wet-sounding voice after a swallow, also signals airway irritation or partial blockage. Wheezing indicates that the airway is reacting or narrowing because material may be in the airway. Increased appetite, however, does not relate to airway invasion and simply reflects hunger or normal desire to eat. So increased appetite is not a sign of possible aspiration during feeding.