A client has a tracheostomy tube in place. Which of the following actions is appropriate for the nurse to take when suctioning the tracheostomy? 

1
Use sterile technique and turn the suction off while catheter is introducing.
2
Use a sterile tube each time and suction for 20 seconds
3
Use clean technique and suction for 20 seconds
4
Discard the catheter at the end of every shift

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