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基本照護與舒適 · HARD · MCQ

護理師為一位周邊神經病變的病人進行身體評估。哪項安全預防措施是必要的?

A nurse is performing a physical assessment on a client with peripheral neuropathy. Which safety precaution is essential?

  • ASoak the feet in hot water to improve circulation
    用熱水泡腳以改善循環
  • BInspect the feet daily for injuries or pressure points✓ 正解
    每日檢查足部是否有受傷或壓迫點
  • CAdvise the client to walk barefoot
    建議病人赤腳行走
  • DApply tight-fitting compression stockings
    穿著緊身彈性襪
Explanation · 中文詳解

周邊神經病變(peripheral neuropathy)常見於糖尿病患者,會導致足部痛覺、溫覺與觸覺減退。病人往往因為感覺遲鈍,在腳部受傷、起水泡或被異物刺傷時渾然不覺,進而導致傷口惡化與感染。因此,每日徹底檢查足部是預防足部潰瘍與截肢的關鍵護理措施。護理師應指導病人穿著合適鞋襪,避免赤腳走路,並禁止浸泡熱水(以免燙傷)。

Peripheral neuropathy is common in clients with diabetes and reduces pain, temperature, and tactile sensation in the feet. Because of impaired sensation, the client may not notice injuries, blisters, or foreign-body punctures, leading to wound deterioration and infection. Thorough daily foot inspection is therefore the key nursing measure for preventing foot ulcers and amputations. The nurse should instruct the client to wear properly fitted footwear and socks, avoid walking barefoot, and refrain from soaking the feet in hot water to prevent burns.

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