The Nurse Performs Tracheostomy Care for the Patient

The nurse performs tracheostomy care for the patient.Which instruction does the nurse give to nursing assistive personnel (NAP) to implement while changing the ties of the tracheostomy tube?

A) Prevent the patient from coughing out the tube.
B) Don sterile gloves before providing assistance.
C) Inject sterile saline solution into the tracheostomy.
D) Hold the tracheostomy tube securely in place.