What observation indicates a concern for a client 2 hours postoperative following an ileal conduit procedure?

The observation of a dusky-colored stoma is a significant concern for a client who is 2 hours postoperative following an ileal conduit procedure. The stoma is the external portion of the urinary diversion, and it should have a healthy, pinkish color, indicating good blood flow and viability. A dusky or purplish color suggests that the stoma may not be receiving adequate blood supply, which can lead to necrosis and other complications if not addressed promptly. This change in color is often one of the first signs of ischemia and would warrant immediate assessment and intervention by the healthcare team to prevent further complications and ensure the health of the client.

Observations such as clear drainage from the stoma, stable vital signs, and a pink stoma appearance indicate that the stoma is functioning properly and the client is stable, which are positive signs postoperatively.