— 降低風險 · EASY · SATA —
護理師指導一位周邊動脈疾病(PAD)病人足部護理,病人的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 peripheral artery disease (PAD) 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 to soften the skin✓ 正解我會用熱水泡腳來軟化皮膚
- BI will check my feet daily for blisters or redness我會每天檢查腳部是否有水泡或紅腫
- CI will apply lotion between my toes to prevent cracking✓ 正解我會塗抹乳液在腳趾縫間以防止乾裂
- DI will wear well-fitting, leather shoes我會穿合腳的皮鞋
- EI will walk daily to improve my circulation我會每天走路以改善循環
— Explanation · 中文詳解 —
PAD 病人因末梢循環差,對溫度感覺較遲鈍,泡熱水極易燙傷;而腳趾間塗抹乳液會導致潮濕,增加真菌感染(香港腳)風險。B 是正確習慣;D 穿著合腳鞋具可避免壓瘡;E 適度步行可建立側枝循環,均為保護足部的衛教內容。
Soaking feet in hot water poses a high risk of burns due to impaired sensation in peripheral artery disease, and applying lotion between toes creates moisture that promotes fungal infections. These actions indicate a misunderstanding of proper foot care for clients with poor circulation.
✦ 台美臨床差異
美國有專門的足科醫師(Podiatrist)協同護理;台灣病人多由內外科醫師負責,護理師衛教內容較為通用。