— 健康促進與維護 · EASY · MCQ —
護理師照護一位第二型糖尿病成人病人。下列哪項建議屬於合適的健康促進措施？
A nurse is caring for an adult client diagnosed with Type 2 Diabetes. Which of the following is an appropriate health promotion recommendation?
- AIncrease exercise intensity abruptly to lose weight突然增加運動強度以減重
- BEliminate carbohydrates entirely from the diet從飲食中完全排除碳水化合物
- CStop medication once blood glucose levels normalize一旦血糖水平正常就停止用藥
- DExamine feet daily for cuts, blisters, or redness✓ 正解每日檢查雙腳是否有割傷、水泡或紅腫
— Explanation · 中文詳解 —
糖尿病病人因末梢神經病變，對足部損傷感知減弱。每日檢查足部（特別是腳縫、腳底）是預防足部潰瘍與截肢的關鍵護理。其他選項皆為错误的管理概念，運動需循序漸進，碳水化合物需適量攝取，慢性病藥物更不可隨意停用。
Patients with diabetes have diminished sensation to foot injuries due to peripheral neuropathy. Daily foot inspection (especially between toes and on the soles) is the key nursing intervention to prevent foot ulcers and amputation. The other options are incorrect management concepts: exercise must be progressed gradually, carbohydrates must be consumed in moderation, and chronic disease medications must not be discontinued arbitrarily.
✦ 台美臨床差異
台灣糖尿病衛教強調「護理師」的角色極重，且有健保給付的糖尿病共同照護網，資源相當完整。