A nurse is caring for a client following placement of a sigmoid colostomy, in which of the following locations should the nurse expect to find a stoma? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.
Explanation & Rationale
A. Ascending colon area (right lower quadrant): This location corresponds to an ascending colostomy or ileostomy, not a sigmoid colostomy. The stoma here would produce more liquid stool due to its proximity to the small intestine. B. Transverse colon area (upper abdomen): A stoma in this area represents a transverse colostomy, which produces semi-formed stool. This is not consistent with a sigmoid colostomy location. C. Descending colon area (left upper quadrant): While descending colon colostomies are in the left side, they are higher up and produce more formed stool, but the typical sigmoid colostomy is lower in the left lower quadrant. D. Sigmoid colon area (left lower quadrant): The sigmoid colon is located in the left lower quadrant of the abdomen. A sigmoid colostomy is placed here, producing more formed stool and allowing easier appliance management. This is the expected site for a stoma following sigmoid colostomy surgery.