— 基本照護與舒適 · MEDIUM · SATA —
護理師衛教一位第二型糖尿病病人足部護理。應包含下列哪些內容？（選所有適合的）
A nurse is caring for a client with type 2 diabetes. Which foot care practices should the nurse teach the client? (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
- BApply lotion between the toes在趾間塗抹乳液
- CWear well-fitting, leather shoes✓ 正解穿著合腳的皮鞋
- DCut toenails in a rounded shape將趾甲修成圓弧形狀
- ECheck the temperature of bathwater with a thermometer✓ 正解用溫度計檢查洗澡水的溫度
— Explanation · 中文詳解 —
糖尿病足護理重在預防感染。每天檢查足部可早期發現傷口；穿著合腳皮鞋避免擠壓；用溫度計測水溫可防燙傷（因末梢神經病變感覺遲鈍）。趾間塗乳液會導致潮濕發霉，應避免；趾甲應平剪避免甲溝炎，圓弧形剪法易長入肉中。
Daily foot inspections help detect early signs of injury, while well-fitting leather shoes protect against trauma. Using a thermometer to check bathwater temperature prevents burns due to sensory neuropathy. Lotion should not be applied between toes to avoid fungal growth, and toenails should be cut straight across to prevent ingrown nails.
✦ 台美臨床差異
美國有專門的糖尿病衛教師（CDE），台灣目前仍以護理師與醫師共同衛教為主，但居家照護資源整合度較高。