When performing suctioning for a client with a tracheostomy, which action should the nurse include?

A. Instruct the client to cough as the suction tip is removed: While encouraging coughing helps clear secretions, it is not safe to ask a client to cough before suctioning; suctioning should be done with the catheter in place to remove secretions effectively. B. Apply a water soluble lubricant to the catheter: Lubrication is not recommended for tracheostomy suctioning because it can introduce infection or interfere with effective suctioning. C. Instill 3 mL of 0.9% sodium chloride before suctioning: Routine saline instillation is no longer recommended as it may increase the risk of infection, hypoxia, and airway irritation without improving secretion clearance. D. Wear protective goggles while performing the procedure: Protective eyewear is essential to prevent exposure to secretions and reduce the risk of infection or contamination during tracheostomy suctioning.