Which of the following complications can arise from improperly secured tracheostomy ties?

Improper securing of tracheostomy ties can lead to airway obstruction, which is the correct identification of a potential complication. When tracheostomy ties are not adequately secured, the tracheostomy tube may become displaced or potentially dislodge completely. A dislodged tube can obstruct the airway, leading to critical situations where the patient cannot breathe effectively. This can be particularly dangerous, especially in patients who require mechanical ventilation or are unable to maintain respiratory function independently.

When considering the other potential complications, while infection, respiratory distress, and skin irritation are indeed valid concerns associated with tracheostomy care, they are not direct consequences of improperly secured ties. Infection can arise from multiple factors, including poor hygiene or exposure to pathogens. Respiratory distress can result from various issues but is not specifically tied to the manner in which ties are secured unless they lead to airway obstruction. Skin irritation around the stoma may occur due to friction or moisture but does not stem directly from the tension or security of the ties themselves. The primary immediate risk with incorrectly secured ties is airway obstruction, making this the most pertinent answer to the question.