What is the most appropriate nursing intervention following a client’s ileostomy surgery when assessing for complications?

Monitoring skin integrity around the stoma is a crucial intervention following ileostomy surgery primarily because the skin in this area is particularly vulnerable to irritation and breakdown due to constant exposure to stool output. After the surgery, the stoma can produce a significant amount of effluent, which is highly corrosive and can lead to skin complications like dermatitis or localized infections if not managed properly.

Ensuring the skin remains intact around the stoma not only helps prevent discomfort for the patient but also plays a key role in the overall maintenance of the stoma's health. If skin integrity is compromised, it may hinder the healing process and lead to additional complications that could necessitate further medical intervention.

While monitoring output from the stoma, educating the client on dietary restrictions, and assessing for bowel sounds are all important aspects of post-operative care, the primary focus immediately after ileostomy surgery should be on ensuring the skin integrity surrounding the stoma to prevent complications that can arise from skin irritation.