— 降低風險 · MEDIUM · SATA —
護理師指導一位新診斷第一型糖尿病的病人足部護理,哪些敘述表示教學有效?(選所有適合的)
A nurse is teaching a client with newly diagnosed Type 1 diabetes about foot care. Which statements indicate that teaching was effective? (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 wear open-toed shoes to let my feet breathe我會穿露趾鞋讓腳透氣
- CI will dry between my toes thoroughly after washing✓ 正解洗腳後我會徹底擦乾趾間
- DI will cut my toenails straight across✓ 正解我會將趾甲直剪
- 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 —
糖尿病足部護理的重點在於「預防微小傷口」與「維持循環」。因糖尿病病人常合併周邊神經病變(Peripheral neuropathy),對溫度與疼痛的感覺遲鈍,極易在無意中受傷。每日檢查可及早發現傷口,乾燥趾間可預防念珠菌感染,直剪趾甲可防止嵌入式趾甲(Ingrown toenail)。錯誤的護理方式(如熱敷、赤腳、穿開放式鞋)會增加燒傷或受傷風險,嚴重者導致潰瘍與截肢。
Effective foot care includes daily inspection to identify early trauma, thorough drying between toes to prevent fungal infections, and cutting nails straight across to avoid ingrown toenails. These practices compensate for reduced sensation and help maintain skin integrity and circulation.