The nurse is preparing to perform suctioning on a client with a tracheostomy who is not on a mechanical ventilator. Which of the following actions by the nurse are appropriate? Select all that apply.

C The nurse hyperoxygenates the client with the manual resuscitation bag before suctioning. D The nurse quickly inserts the catheter during inspiration until resistance is met or the client coughs. A The nurse instills normal saline into the airway before suctioning. E The nurse quickly inserts the catheter during expiration until resistance is met or the client coughs. F The nurse applies intermittent suction for 10 seconds while rotating the catheter back and forth between the dominant thumb and forefinger. B The nurse applies intermittent suction for 15 seconds while pulling the catheter straight out.