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健康促進與維護 · MEDIUM · SATA

護理師為第二型糖尿病個案規劃出院計畫,下列哪些足部護理指導至關重要?(選所有適合的)

A nurse is preparing a discharge plan for a client diagnosed with Type 2 Diabetes Mellitus. Which foot care instructions are critical? (Select all that apply.)

  • AInspect feet daily for redness or blisters✓ 正解
    每日檢查雙腳是否有紅腫或水泡
  • 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
    徹底擦乾趾間縫隙
  • DWear shoes that are well-fitted and comfortable✓ 正解
    穿著合腳且舒適的鞋子
  • EApply lotion between the toes to keep skin soft
    在趾間塗抹乳液以保持皮膚柔軟
Explanation · 中文詳解

糖尿病足護理核心為:每日檢查、保持乾燥、防護受傷。B 錯誤:浸泡過久會導致皮膚浸潤軟化,增加感染風險。E 錯誤:趾間塗抹乳液會導致潮濕,是黴菌感染溫床。A、C、D 皆能有效維持足部完整性與早期發現病灶。

The key elements of diabetic foot care are daily inspection, keeping the feet dry, and protecting them from injury. Option B is incorrect because prolonged soaking causes the skin to macerate and increases the risk of infection. Option E is incorrect because applying lotion between the toes creates moisture that promotes fungal infection; the interdigital spaces should remain dry. Options A, C, and D all effectively help maintain foot integrity and allow for early detection of lesions.

✦ 台美臨床差異

美國由護理師與足病科醫師密切合作;台灣多由內分泌科醫師指導,護理衛教則較依賴衛教師。

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