A nurse is performing tracheostomy care for a client. Which of the following actions should the nurse take?

A. Use medical aseptic technique: Tracheostomy care requires sterile (surgical) technique for inner-cannula care and dressing changes to prevent infection, not just standard medical asepsis. B. Secure new tracheostomy ties before removing old ones: Securing the new ties before removing the old ones prevents accidental decannulation and maintains airway stability. C. Apply petroleum jelly to the peristomal skin: Petroleum jelly is avoided because it can trap bacteria and poses an aspiration/occlusion risk; non-petroleum, water-based products or dry care are preferred. D. Clean the inner cannula with mild soap and water: Reusable inner cannulas are cleaned per facility policy using sterile technique and approved solutions (sterile saline or enzymatic/sterile cleaning), not routinely with nonsterile soap and tap water at the bedside.