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基本照護與舒適 · MEDIUM · SATA

護理師向周邊動脈疾病(PAD)病人進行衛教。下列哪些敘述代表病人已理解足部護理方式?(選所有適合的)

A nurse is providing discharge education to a client with peripheral arterial disease (PAD). Which statement by the client indicates an understanding of foot care? (Select all that apply.)

  • AI will inspect my feet daily for blisters or cuts✓ 正解
    我會每天檢查我的腳是否有水泡或割傷
  • BI will soak my feet in warm water for 30 minutes daily
    我會每天用溫水浸泡雙腳 30 分鐘
  • CI will wear well-fitting, leather shoes✓ 正解
    我會穿合腳的真皮鞋
  • DI will trim my toenails straight across✓ 正解
    我會將趾甲橫向修剪
  • EI will use a heating pad if my feet feel cold
    如果我的腳覺得冷,我會使用熱敷墊
Explanation · 中文詳解

周邊動脈疾病(PAD)病人因下肢動脈阻塞,導致組織缺血、癒合能力極差且感覺遲鈍。足部護理的重點在於預防任何形式的傷口與感染。每日檢查足部確保無傷口、穿著保護性佳且合腳的鞋子、正確修剪腳指甲(平剪以防嵌甲)是預防潰瘍的關鍵行為。同時,須嚴禁使用熱敷或浸泡過熱水,因病人感覺遲鈍,極易導致燙傷而引發難以癒合的壞疽。

Clients with peripheral arterial disease require meticulous foot care to prevent injury and infection due to poor circulation and potential sensory deficits. Daily inspection, wearing properly fitting protective footwear, and trimming toenails straight across are essential preventive measures. Conversely, soaking feet or using heating pads is contraindicated because impaired sensation increases the risk of burns and skin maceration.

✦ 台美臨床差異

美國護理教育中,對於 PAD 與糖尿病足的護理衛教非常強調「禁止赤腳行走」(Never walk barefoot),這也是預防足部損傷的重要教育內容。

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