Question: The nurse understands clients with a tracheostomy or endotracheal tube need suctioning to keep the airway patent. Which nursing actions demonstrate proper suctioning technique? Select all that apply. The nurse understands clients with a tracheostomy or endotracheal tube need suctioning to keep the airway patent. Which nursing actions demonstrate proper suctioning technique? Select all that apply. Preoxygenate the client for at least 30 seconds before suctioning. Quickly insert the suction catheter until resistance is met. Suction the client for at least 30 seconds to remove secretions. Repeat suctioning as needed for four to five total suction passes. Apply suction when withdrawing the suction catheter.