Problem: The nurse is caring for a patient who had a fenestrated tracheostomy tube placed one week ago. Which of the following are true regarding fenestrated tracheostomies? Select all that apply. This type of tracheostomy does not require trach care. The patient with a fenestrated tracheostomy can speak. This is the only type of tracheostomy used with mechanical ventilation. A fenestrated tracheostomy can be capped if the cuff is deflated. Risks associated with fenestrated tracheostomies include bleeding, infection, accidental decannulation (removal of the tracheostomy tube), and difficulty breathing. Need Assignment Help?