— 基本照護與舒適 · MEDIUM · SATA —
護理師正在教導新診斷第二型糖尿病的病人足部護理。應包含哪些指導內容？（選所有適合的）
A nurse is teaching a client with newly diagnosed type 2 diabetes about foot care. Which instructions should be included? (Select all that apply.)
- AExamine feet daily for blisters, cuts, or redness✓ 正解每日檢查雙腳是否有水泡、割傷或紅腫
- BSoak feet in warm water for 30 minutes daily每日用溫水浸泡雙腳30分鐘
- CDry thoroughly between the toes✓ 正解徹底擦乾趾間
- DApply lotion between the toes to prevent dryness在趾間塗抹乳液以防乾燥
- EWear well-fitting, closed-toe shoes✓ 正解穿著合腳且包覆鞋頭的鞋子
— Explanation · 中文詳解 —
糖尿病足部護理重點在於預防受傷與感染。每日檢查可早期發現微小傷口；趾間擦乾預防黴菌感染；穿著包覆型合適鞋子保護足部。浸泡過久會導致皮膚浸軟（Maceration），而趾間塗乳液易導致細菌滋生，皆應避免。
Diabetic foot care focuses on injury prevention and infection control. Daily inspection detects small wounds early; thoroughly drying between the toes prevents fungal infection; well-fitting closed-toe shoes protect the feet. Prolonged soaking macerates the skin, and lotion between the toes promotes bacterial growth—both should be avoided.
✦ 台美臨床差異
美國糖尿病教育強調足部檢查的自理能力；台灣臨床常由傷口護理師或糖尿病衛教師進行更系統性的足部壓力評估。