— 基本照護與舒適 · HARD · SATA —
護理師教導周邊動脈疾病(PAD)病人足部護理,哪些指導是正確的?(選所有適合的)
A nurse is teaching a client with peripheral artery disease (PAD) about foot care. Which instructions are correct? (Select all that apply.)
- AInspect feet daily for sores✓ 正解每日檢查雙腳是否有傷口
- BWear well-fitting shoes at all times✓ 正解隨時穿著合腳的鞋子
- CUse a heating pad to keep feet warm使用熱敷墊保暖雙腳
- DWash feet with warm water and dry thoroughly✓ 正解用溫水洗腳並徹底擦乾
- ECut toenails straight across✓ 正解將趾甲平直修剪
— Explanation · 中文詳解 —
PAD 病人因血液循環差,足部極易損傷且癒合慢。每日檢查(A)、穿著合適鞋子(B)、溫水清潔並徹底乾燥(D)、平剪指甲(E)均為避免感染的關鍵。加熱墊(C)極度危險,因病人循環差無法散熱,易造成嚴重燙傷。
Proper foot care for peripheral artery disease includes daily inspection, wearing well-fitting shoes, washing with warm water and drying thoroughly, and cutting toenails straight across. Heating pads should be avoided because poor circulation and potential sensory deficits increase the risk of severe burns.
✦ 台美臨床差異
兩地對糖尿病與 PAD 足部護理衛教原則相同,但美國護理師常會強調由足科醫師(Podiatrist)修剪指甲。