A client admitted to the intensive care unit (ICU) with acute respiratory distress syndrome (ARDS) is intubated and placed on assist-control mechanical ventilation. When suctioning pulmonary secretions from the endotracheal tube (ETT) using a closed suction system, which action should the nurse implement to ensure that the client receives adequate oxygenation?

A Suction subglottic area above the ETT cuff before entering the ETT. C Rinse suction catheters with normal saline between each suction pass. D Suction for 30 seconds with each pass of the suction catheter. B Use the ventilator settings to stack breaths prior to suctioning.