A 68-year-old client developed acute respiratory distress syndrome while hospitalized for pneumonia. After a respiratory arrest, an endotracheal tube was inserted. Several days later, numerous attempts to wean him from mechanical ventilation were ineffective, and a tracheostomy was created. For the first 24 hours following tracheostomy, it is important to minimize bleeding around the insertion site. The nurse can accomplish this by:
A. Deflating the cuff for 10 minutes every other hour instead of 5 minutes every hour
B. Avoiding manipulation of the tracheostomy including cuff deflation
C. Reporting any signs of crepitus immediately to the physician
D. Changing tracheostomy dressing only as necessary using one-half strength hydrogen peroxide to cleanse the site
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