A nurse is assisting in the care of a light-skinned client who has an ileostomy Exhibits:The nurse is reviewing the client's medical record.Select all the findings that require intervention by the nurse.

Correct Answer: A,B,C

Rationale:
A: Client will not look at stoma - This finding requires intervention as the client needs to be educated on stoma care and should be encouraged to participate in self-care.
B: Client states they are not interested in learning about stoma care - This indicates a lack of understanding or denial, requiring the nurse to provide education and support to ensure proper care.
C: Skin surrounding stoma is reddened and has small open areas - This suggests skin breakdown and potential infection, necessitating immediate intervention to prevent further complications.

Summary:
D: Ileostomy present. Stoma is red - This is a normal finding for an ileostomy and does not require immediate intervention.
E: Stoma draining brown liquid stool - This is a normal finding for an ileostomy and does not require immediate intervention.
F: Abdomen soft, nondistended - This is a normal assessment finding and does not require immediate intervention in this context.