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A WOC nurse is caring for a patient with an end colostomy located in the right lower quadrant and a mucous fistula located in the left lower quadrant. The patient questions, "Will I always need to have two pouching systems on my abdomen"? The WOC nurse states which of the following?
a) After any remaining stool is expelled, you will be able to only apply a pouching system to the mucous fistula and use a gauze dressing for the colostomy.
b) The mucous fistula will continue to produce a large amount of mucous that will always require the use of a drainable ostomy pouch for frequent emptying.
c) Both of the stomas will continue to expel stool; therefore, you will always need a pouching system for each stoma.
d) The output from the mucous fistula should decrease, and you may choose to apply just a dressing to collect any mucous. You will continue to place an ostomy pouch on the colostomy.

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