Which observation during meal time should the CNA report to the nurse immediately?

Explanation

Coughing, choking, wet/gurgly ('wet') voice after swallowing, pocketing food, drooling, and unexplained weight loss are red flags for dysphagia and aspiration risk—the resident needs swallow evaluation (SLP) and likely diet modification. Several days of refused meals signal a clinical change requiring nurse assessment. Normal eating behaviors (b, c, d) are not concerning. Aspiration pneumonia is a leading cause of death in elders with dysphagia; timely reporting saves lives.