Question: The nurse is caring for a client at home who has had a tracheostomy tube for several months. The nurse monitors the client for complications associated with the long-term tracheostomy and suspects tracheoesophageal fistula if which observation is noted for the client? Need Online Tutoring? 1. Abdominal distention 2. Purulent drainage around the tracheotomy site 3. Excessive secretions from the tracheotomy site 4. Inability to pass a suction catheter through the tracheotomy