A nurse is caring for a child who has a tracheostomy. After suctioning the tracheostomy, the nurse should use which of the following findings to determine that the procedure was effective?

A. Brisk capillary refill is not directly related to the effectiveness of tracheostomy suctioning. B. Clear breath sounds indicate that secretions have been successfully removed from the airway, making the suctioning effective. C. Increased respiratory rate could indicate distress or a need for further intervention. D. Stable oxygen saturation is important but can be maintained by other means and does not solely indicate the effectiveness of suctioning.