A postoperative adult with a cuffed tracheostomy is receivin…
A postoperative adult with a cuffed tracheostomy is receiving humidified oxygen. The client suddenly becomes anxious and tachycardic. SpO₂ decreases to 85%. On assessment, breath sounds are diminished bilaterally, and coarse, bubbling sounds are heard from the tracheostomy tube. The client is attempting to cough but cannot clear secretions. Which action should the nurse take first?