The Nurse Who Is Performing Care for a Client with a New

The nurse who is performing care for a client with a new tracheostomy determines the ties are very soiled and must be changed. What is the best method for changing these ties?

A) Have an assistant hold the tracheostomy tube in place, remove the soiled ties, and replace the ties.
B) Remove the old ties, clean the area well, and then put on new ties.
C) Remove the outer cannula, replace the soiled ties, and reinsert.
D) Attach the new tape and tie with a square knot behind the client's neck.