— 健康促進與維護 · MEDIUM · MCQ —
護理師教導第二型糖尿病病人足部護理。下列哪項措施是不適當的?
A nurse is teaching a client with Type 2 diabetes about foot care. Which action is inappropriate?
- ACut toenails straight across將趾甲直剪
- BUse moisturizing lotion between the toes✓ 正解在趾間使用保濕乳液
- CWear clean, absorbent cotton socks穿著乾淨、吸水的棉襪
- DInspect feet daily for redness or blisters每日檢查雙腳是否有紅腫或水泡
— Explanation · 中文詳解 —
糖尿病足部護理的核心目標是保持皮膚完整性並預防感染。糖尿病病人常伴隨周邊神經病變(Peripheral Neuropathy),對痛覺與溫度感不敏感,微小傷口若處理不當易演變成潰瘍甚至壞疽。正確護理應保持足部乾燥清潔,避免潮濕環境導致黴菌滋生。選項B為錯誤行為,因趾間若殘留乳液會造成潮濕,成為黴菌與細菌的溫床,增加感染風險。
Applying moisturizing lotion between the toes is inappropriate because it creates a damp environment that promotes fungal and bacterial growth. Diabetic clients should keep their feet clean and dry, applying lotion only to the tops and bottoms of the feet to prevent skin breakdown and infection.