護理師教導一位第一型糖尿病病人足部護理。下列哪些陳述代表病人理解護理指導?(選所有適合的)
A nurse is teaching a client with Type 1 diabetes about foot care. Which of the following statements by the client indicates an understanding of the instructions? (Select all that apply.)
- AI should check my feet for blisters every day✓ 正解我應該每天檢查雙腳是否有水泡
- BI will soak my feet in hot water to soften calluses我會用熱水泡腳來軟化老繭
- CI should wear cotton socks that absorb moisture✓ 正解我應該穿能吸濕的棉質襪子
- DI will use a mirror to check the bottoms of my feet✓ 正解我會使用鏡子檢查腳底
- EI should trim my toenails straight across✓ 正解我應該將趾甲平直修剪
糖尿病病人因末梢神經病變(diabetic neuropathy),對疼痛、溫度與壓力感覺遲鈍,極易在足部出現傷口而不自知,進而演變成嚴重潰瘍甚至截肢。足部護理重點包括:每日使用鏡子檢查足底、修剪指甲平剪以防嵌甲(ingrown toenails)、穿著吸濕排汗的襪子、以及避免赤腳。泡熱水容易燙傷,且過度浸泡會導致皮膚浸軟(maceration),應嚴格禁止。
Daily foot inspection using a mirror is essential because diabetic neuropathy decreases sensation, increasing the risk of unnoticed injuries. Clients should trim toenails straight across to prevent ingrown nails and wear breathable cotton socks to reduce moisture and fungal infection risk. Soaking feet in hot water is contraindicated due to the high risk of burns and skin maceration.