Certified Medical-Surgical Registered Nurse Practice Exam

Using a solid skin barrier is essential for protecting the peristomal skin around an ileostomy. The skin barrier acts as a protective layer, preventing irritants and moisture from damaging the delicate skin that surrounds the stoma. It creates a seal that helps absorb bodily fluids, which can be quite caustic, especially when the output from an ileostomy is involved.

In this case, applying a solid skin barrier helps minimize the risk of skin irritation, erosion, or breakdown, which can be common problems for patients with stomas. Skin integrity is crucial for comfort and preventing complications, thus using a solid skin barrier serves both protective and preventive purposes.

Other methods, such as washing with antiseptic soap or the use of Dakin's solution, could lead to further irritation or disrupt the skin's natural barrier. Topical antibiotics might be warranted in cases of infection but are not a standard or necessary action for routine skin protection in ileostomy care. The priority in this scenario is to ensure a protective foundation for the adhesive appliance, making a solid skin barrier the most appropriate choice.