A nurse is caring for a client who has had a double-barrel colostomy. Which is true regarding the proximal stoma? Select all that apply
A) Is also called the mucus fistula.
B) Diverts feces to the abdominal wall.
C) Expels mucus from the distal colon.
D) Is a functional stoma.
E) Expels mucus from the proximal colon.
Answer: B, D
When a double-barrel colostomy is performed, two separate stomas are created. The distal colon is not removed, but bypassed. The proximal stoma, which is functional, diverts feces to the abdominal wall. The distal stoma, also called the mucous fistula, expels mucus from the distal colon.
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