— 照護管理 · EASY · MCQ —
護理師教導糖尿病病人足部照護，哪句話需要修正？
A nurse is teaching a patient with diabetes about foot care. Which statement needs correction?
- AI will soak my feet in hot water daily.✓ 正解我會每天用熱水泡腳。
- BI will dry between my toes carefully.我會仔細擦乾趾間。
- CI will wear well-fitting shoes.我會穿合腳的鞋子。
- DI will check my feet daily for blisters.我會每天檢查足部是否有水泡。
— Explanation · 中文詳解 —
糖尿病病人常伴隨周邊神經病變（Peripheral neuropathy），導致足部對冷熱與疼痛的感覺遲鈍。因此，絕對禁止直接浸泡熱水，以免發生嚴重燙傷而不自知，進而引發糖尿病足潰瘍（Diabetic foot ulcer）。衛教重點包括每日檢查足部、保持趾間乾燥、穿著合腳鞋子，以及修剪指甲應平剪，避免傷害皮膚。
Clients with diabetes frequently have peripheral neuropathy, which dulls sensation to temperature and pain in the feet. Therefore, soaking the feet directly in hot water is absolutely prohibited, since it can produce severe unrecognized burns that progress to diabetic foot ulcers. Teaching priorities include daily foot inspection, keeping the spaces between the toes dry, wearing well-fitting shoes, and trimming the toenails straight across to avoid injuring the skin.