A client with a tracheostomy is exhibiting difficulty breathing, and respirations are increasingly noisy. Secretions are very thick. Which of the following initial interventions is most indicated?
1. Increase humidification, and suction the tracheostomy tube.
2. Notify the physician.
3.Sit the client upright, and encourage the client to breathe deeply and cough.
4. Gently irrigate and suction the tracheostomy tube.