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基本照護與舒適 · MEDIUM · SATA

護理師指導周邊動脈疾病病人足部護理,應包含哪些建議?(選所有適合的)

A nurse is teaching a client with peripheral artery disease about foot care. Which interventions should be included? (Select all that apply.)

  • AInspect feet daily for sores or skin breakdown✓ 正解
    每日檢查足部是否有傷口或皮膚破損
  • BKeep feet warm by wearing wool socks✓ 正解
    穿羊毛襪以保持足部溫暖
  • CUse a heating pad to warm the feet
    使用加熱墊溫暖雙腳
  • DApply moisturizing lotion between toes
    在趾間塗抹保濕乳液
  • EAvoid crossing the legs while sitting✓ 正解
    坐著時避免翹腳
Explanation · 中文詳解

周邊動脈疾病(Peripheral Artery Disease, PAD)病人因動脈血流灌流不足,導致末梢組織缺血、感覺遲鈍及傷口癒合能力差。護理核心目標在於預防組織損傷與感染,並促進末梢循環。正確的護理應包括每日檢查皮膚完整性以利早期發現病灶,採取保暖措施以預防血管痙攣,並改變會壓迫血管的姿勢。反之,應避免使用熱敷墊或塗抹乳液於趾縫,以防燙傷或細菌黴菌滋生。

In peripheral artery disease (PAD), inadequate arterial blood flow results in distal tissue ischemia, decreased sensation, and impaired wound healing. The core nursing goals are to prevent tissue injury and infection and to promote peripheral circulation. Appropriate care includes daily inspection of the skin for early detection of lesions, maintaining warmth to prevent vasospasm, and avoiding positions that compress blood vessels. Conversely, heating pads must be avoided and lotion should not be applied between the toes, to prevent burns and the proliferation of bacteria or fungi.

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