— 基本照護與舒適 · MEDIUM · SATA —
一位糖尿病患請求護理師協助足部護理,衛教應包含哪些內容?(選所有適合的)
A client with diabetes requests assistance with foot care. What should the nurse include in the teaching? (Select all that apply.)
- AInspect feet daily for cuts or blisters✓ 正解每日檢查雙腳是否有割傷或水泡
- BApply lotion between the toes在趾間塗抹乳液
- CWear cotton socks and well-fitting shoes✓ 正解穿著棉質襪子與合腳的鞋子
- DCut toenails straight across✓ 正解將腳趾甲平直修剪
- ETest water temperature with hands before soaking浸泡前用手測試水溫
— Explanation · 中文詳解 —
糖尿病足部護理旨在降低潰瘍與截肢風險。病人因神經病變可能對痛覺不敏感,故每日檢查足部是否有傷口、水泡或紅腫至關重要。穿著透氣棉襪及舒適鞋子可減少摩擦。指甲應平剪以防嵌甲(Ingrown toenails)。絕對禁止在趾縫間塗抹乳液,因趾縫潮濕易滋生黴菌。水溫測試應使用手肘或溫度計,不能依賴手部,因手部可能也存在神經病變而感覺遲鈍。
Sensory overload management focuses on reducing environmental stimuli to prevent exhaustion. Interventions include dimming lights, limiting visitors, and clustering nursing care to allow for uninterrupted rest. Loud noises or dense scheduling of activities can exacerbate the condition and should be avoided.