護理師指導一位第一型糖尿病病人關於足部護理的知識,哪些陳述代表需要進一步指導?(選所有適合的)
A nurse is teaching a client with Type 1 Diabetes Mellitus about foot care. Which statements by the client indicate a need for further teaching? (Select all that apply.)
- AI will soak my feet in hot water every night to keep them soft✓ 正解我會每天晚上用溫水泡腳以保持柔軟
- BI will apply lotion between my toes to prevent cracking✓ 正解我會塗抹乳液在趾縫間以防止乾裂
- CI will inspect my feet daily using a mirror我會每天使用鏡子檢查雙腳
- DI will buy new shoes in the afternoon when my feet are largest我會選擇下午腳部最大時購買新鞋
- EI will trim my toenails straight across我會將趾甲平直修剪
糖尿病病人足部感覺較遲鈍,熱水泡腳極易燙傷,且浸泡過久會導致皮膚乾燥龜裂。趾縫間塗乳液易造成黴菌感染。正確的足部照護包括:每日鏡檢、下午買鞋(足部自然腫脹)、趾甲平剪,並保持腳部乾燥。A 與 B 皆會增加併發症風險,故需再教育。
Diabetic patients have decreased sensation in the feet; soaking feet in hot water can easily cause burns, and prolonged soaking results in dry, cracked skin. Applying lotion between the toes promotes fungal infection. Proper foot care includes daily inspection (using a mirror if needed), purchasing shoes in the afternoon (when the feet are naturally swollen), trimming toenails straight across, and keeping the feet dry. Options A and B both increase the risk of complications, so reinforced education is required.
美台糖尿病衛教觀念高度一致,強調預防重於治療。