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
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.
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。