— 基本照護與舒適 · MEDIUM · SATA —
護理師指導周邊血管疾病病人足部護理，哪些是正確的建議？（選所有適合的）
A nurse is teaching a client with peripheral vascular disease about foot care. Which instructions are appropriate? (Select all that apply.)
- ACheck feet daily for blisters or cuts✓ 正解每天檢查足部是否有水泡或割傷
- BSoak feet in warm water for 30 minutes daily每天用溫水浸泡雙腳 30 分鐘
- CWear well-fitting, leather shoes✓ 正解穿著合腳的皮製鞋
- DCut toenails straight across✓ 正解將趾甲水平修剪
- EUse heating pads to keep feet warm使用熱敷墊保暖雙腳
— Explanation · 中文詳解 —
周邊血管疾病（PVD）病人因循環差、感覺遲鈍，極易發生足部潰瘍。護理重點在於預防受傷。每日檢查足部（A）可早期發現傷口；穿著合腳鞋子（C）可減少磨損；修剪指甲應平剪（D）以防嵌甲導致感染。長期浸泡會導致皮膚浸潤（Maceration），增加感染風險；加熱墊極易導致燙傷，且因感覺遲鈍病人無法及時察覺，應嚴格禁止。
Clients with peripheral vascular disease require meticulous foot care to prevent ulcers and infections due to poor circulation and potential sensory deficits. Nurses should instruct clients to inspect their feet daily, wear properly fitting breathable footwear, and cut toenails straight across to avoid ingrown nails. Soaking feet or using heating pads is contraindicated as it increases the risk of skin breakdown and burns.