護理師向新診斷第一型糖尿病的病人進行足部護理指導,應包含哪些內容?(選所有適合的)
A nurse is teaching a client with newly diagnosed type 1 diabetes about foot care. Which of the following instructions should be included? (Select all that apply.)
- AInspect feet daily for cuts or redness✓ 正解每日檢查雙腳是否有割傷或紅腫
- BApply lotion between the toes to keep skin soft在趾間塗抹乳液以保持皮膚柔軟
- CWear well-fitting, leather shoes✓ 正解穿著合腳的皮製鞋子
- DCut toenails straight across✓ 正解將趾甲水平修剪
- EUse a heating pad if feet feel cold若雙腳感到寒冷,使用熱敷墊
糖尿病足部護理的核心目標是預防感染與潰瘍,因為病人常伴隨周邊神經病變 (Peripheral Neuropathy) 與血管疾病。護理指導應強調每日自我檢查、合適的鞋襪選擇以及正確的足部衛生習慣,以降低截肢風險。正確選項包含每日檢查足部、穿著保護性鞋具及正確修剪趾甲。錯誤選項則涉及了錯誤的保養方式(如趾間保濕)或危險的物理刺激(如熱敷)。
The core goal of foot care in diabetic patients is the prevention of infection and ulceration, because these patients often have peripheral neuropathy and vascular disease. Nursing instruction should emphasize daily self-inspection, appropriate selection of shoes and socks, and proper foot hygiene to reduce the risk of amputation. The correct options include daily foot inspection, wearing protective footwear, and trimming toenails correctly. The incorrect options involve improper care practices (such as applying moisturizer between the toes) or dangerous physical stimulation (such as the application of heat).