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基本照護與舒適 · MEDIUM · SATA

護理師指導一位第二型糖尿病病人足部護理,應包含哪些內容?(選所有適合的)

A nurse is teaching a client with Type 2 diabetes about foot care. Which instructions should the nurse include? (Select all that apply.)

  • AInspect feet daily for redness and cracks✓ 正解
    每日檢查雙腳有無紅腫與裂傷
  • BApply lotion between the toes to prevent dryness
    在趾間塗抹乳液以防乾燥
  • CWear cotton socks to absorb moisture✓ 正解
    穿著棉質襪子以吸收汗水
  • DCut toenails straight across✓ 正解
    將趾甲平直修剪
  • ETest water temperature with hands before bathing
    洗澡前先用手測試水溫
Explanation · 中文詳解

糖尿病足護理的目標是預防潰瘍與感染。由於糖尿病患者常有末梢神經病變(Neuropathy),對疼痛及溫度的感知遲鈍,因此每日檢查足部是否有傷口極為重要。穿著吸汗棉襪可保持乾燥,直剪趾甲可防止嵌甲。趾間塗抹乳液會導致潮濕,增加真菌滋生風險,應絕對避免。此外,測試水溫應使用手肘內側,因為手掌對溫度的敏感度可能受循環影響。

Daily foot inspection is critical for early detection of lesions, while cotton socks help maintain dryness and straight trimming prevents ingrown toenails. Lotion should never be applied between the toes as moisture promotes fungal growth, and water temperature should be tested with the elbow or a thermometer due to potential neuropathy.

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