— 健康促進與維護 · MEDIUM · SATA —
護理師指導一位新診斷第二型糖尿病的客戶關於足部護理。下列哪些敘述表示客戶已理解？（選所有適合的）
A nurse is teaching a client with newly diagnosed Type 2 diabetes about foot care. Which statements indicate the client understands the teaching? (Select all that apply.)
- AI will inspect my feet daily for cuts or blisters✓ 正解我會每天檢查雙腳是否有割傷或水泡
- BI will soak my feet in hot water every night我會每晚用溫水泡腳
- CI will always wear shoes or slippers, even indoors✓ 正解我會在室內外都穿著鞋子或拖鞋
- DI will dry between my toes carefully after washing✓ 正解洗腳後我會仔細擦乾趾間縫隙
- EI will cut my toenails straight across✓ 正解我會將趾甲平直修剪
— Explanation · 中文詳解 —
糖尿病足部護理的核心是避免神經病變導致的傷害與感染。每日檢查、室內穿鞋（防割傷）、趾間乾燥、直線修剪指甲是基本規範。泡熱水（選項 B）可能因溫度感應遲鈍導致燙傷，且過度泡水會使皮膚軟爛，增加破皮風險。
Proper diabetic foot care includes daily inspection for injuries, wearing footwear indoors to prevent trauma, drying between toes to prevent fungal growth, and cutting toenails straight across to avoid ingrown nails. Soaking feet in hot water is contraindicated due to the risk of burns and skin maceration.
✦ 台美臨床差異
台灣醫療環境針對糖尿病患常安排衛教師定期評估，美國則更仰賴病人自律與社區藥局的輔助。