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基本照護與舒適 · MEDIUM · SATA

護理師指導一位糖尿病病人足部照護,應包含哪些內容?(選所有適合的)

A nurse is educating a client about foot care for diabetes. Which of the following should be included in the teaching? (Select all that apply.)

  • AInspect feet daily for cuts or blisters✓ 正解
    每日檢查腳部是否有割傷或水泡
  • BWash feet with warm water and dry thoroughly between toes✓ 正解
    用溫水洗腳並徹底擦乾趾間
  • CUse a lotion to keep skin between toes soft
    使用乳液保持趾間皮膚柔軟
  • DAlways wear shoes, even indoors✓ 正解
    即使室內也應始終穿著鞋子
  • ETrim toenails straight across✓ 正解
    將趾甲平直修剪
Explanation · 中文詳解

糖尿病足照護的重點在於預防神經病變(Neuropathy)引起的損傷惡化及感染。病人常因感覺減退而未能察覺微小傷口,因此每日檢查足部是護理教育的首要項目。清潔後趾間保持乾燥可預防黴菌滋生,而平剪指甲可防止甲溝炎及嵌入性指甲。穿鞋可避免環境中的銳物穿刺,因為病人可能無法感覺到疼痛。趾間不可塗乳液,因潮濕環境是黴菌的溫床,這是在考試中極易混淆的細節。

The focus of diabetic foot care is preventing the progression of injuries and infections caused by neuropathy. Because clients often fail to perceive minor wounds due to diminished sensation, daily foot inspection is the first priority of nursing education. After washing, keeping the area between the toes dry helps prevent fungal growth, and trimming the toenails straight across helps prevent paronychia and ingrown nails. Wearing shoes protects the feet from sharp objects in the environment, which the client may not feel due to neuropathy. Lotion should never be applied between the toes, because a moist environment promotes fungal and bacterial growth—this detail is easily confused on examinations.

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