— 基本照護與舒適 · MEDIUM · MCQ —
護理師教導一位新確診第二型糖尿病的病人足部護理,哪項敘述顯示病人已理解教導內容?
A nurse is teaching a client with newly diagnosed type 2 diabetes about foot care. Which of the following statements indicates the client understands the teaching?
- AI will soak my feet in hot water daily to soften the skin我每天會用熱水泡腳以軟化皮膚
- BI will check my feet daily using a mirror for any cuts or blisters✓ 正解我會每天使用鏡子檢查雙腳是否有割傷或水泡
- CI will trim my toenails in a curved shape to prevent ingrown nails我會將趾甲修成弧形以防嵌甲
- DI will apply lotion between my toes to prevent cracking我會塗抹乳液在趾縫間以防止乾裂
— Explanation · 中文詳解 —
糖尿病足部照護的目標是預防潰瘍、感染及截肢。由於糖尿病可能併發周邊神經病變(Peripheral Neuropathy),病人對溫度、壓力和痛覺的感知能力會下降,導致細微傷口無法及時被發現。因此,每日自我檢查是護理教導中最關鍵的環節。護理師需指導病人正確的檢查方法,包含觀察皮膚顏色、有無裂痕、水泡或紅腫,並強調預防性照護的意義。
Daily self-inspection of the feet is the most critical aspect of diabetic foot care because peripheral neuropathy reduces sensation to pain, temperature, and pressure. Using a mirror to check for cuts, blisters, or redness allows for early detection and prevention of serious complications like ulcers.