The client with an ileostomy is being discharged. Which teaching should be included in the plan of care? A. Use Karaya powder to seal the bag. B. Irrigate the ileostomy daily. C. Stomahesive is the best skin protector. D. Neosporin ointment can be used to protect the skin.

First, we need to review and understand each option provided (A, B, C, D). A. Use Karaya powder to seal the bag. B. Irrigate the ileostomy daily. C. Stomahesive is the best skin protector. D. Neosporin ointment can be used to protect the skin.

Next, we will evaluate the appropriateness of each option based on evidence-based practices and guidelines for ileostomy care. A. Karaya powder can be used to absorb moisture and prevent skin irritation for individuals with an ostomy. It's a helpful teaching for care, but there are more important teachings that should be included. B. Irrigating the ileostomy daily is not a necessary practice for ileostomies. Intestinal irrigation is typically done for colostomies, not ileostomies. C. Stomahesive is a skin barrier and protective paste that helps prevent skin irritation and promotes skin healing. It's very important for ileostomy care since the output contains digestive enzymes that can cause skin irritation. D. Neosporin ointment can be used for wound care, but it's not specifically designed for ileostomy skin protection. It might not be as effective in preventing skin irritation compared to products specifically designed for ostomy care.

Based on the evaluation of each option, the teaching that should be included in the plan of care is: C. Stomahesive is the best skin protector. This teaching is the most appropriate because Stomahesive offers specific and effective protection against skin irritation caused by ileostomy output. Other options are either not necessary or not as effective in ileostomy care.