— 基本照護與舒適 · MEDIUM · SATA —
護理師為糖尿病病人進行衛生衛教，應包含哪些指導？（選所有適合的）
A nurse is providing hygiene care for a client with diabetes mellitus. Which instructions should the nurse provide? (Select all that apply.)
- AInspect feet daily for cuts or redness✓ 正解每日檢查足部是否有割傷或紅腫
- BApply lotion between the toes在趾間塗抹乳液
- CWear well-fitting, leather shoes✓ 正解穿著合腳的皮製鞋
- DCut toenails straight across✓ 正解將腳趾甲平直修剪
- EAvoid going barefoot✓ 正解避免赤腳行走
— Explanation · 中文詳解 —
糖尿病病人的足部護理是預防糖尿病足潰瘍與截肢的關鍵。由於糖尿病常伴隨周邊神經病變（Peripheral Neuropathy）與血管病變，病人對痛覺與溫度的敏感度下降，容易忽視微小傷口，導致感染惡化。護理重點在於每日檢查、保持足部清潔乾燥、穿著合適鞋襪以減少壓力點，並採取正確的修剪指甲方式，嚴禁自行處理雞眼或厚繭。
Daily foot inspections, wearing breathable leather shoes, cutting nails straight across, and avoiding barefoot walking are essential to prevent injury and infection in diabetic clients. Lotion should not be applied between the toes, as excess moisture promotes fungal growth and skin breakdown.