— 生理適應 · EASY · MCQ —
一名 55 歲糖尿病史病人，足部潰瘍久未癒合。下列哪項評估結果需要立即通報醫師？
A 55-year-old client with a history of diabetes mellitus presents with a non-healing foot ulcer. Which assessment finding requires immediate reporting to the healthcare provider?
- AFoul-smelling drainage and surrounding erythema✓ 正解惡臭引流物及周圍紅斑
- BPeripheral pulses palpable at 2+周邊脈搏可觸及且為 2+
- CDry, scaly skin on the lower extremities下肢皮膚乾燥、脫屑
- DGranulation tissue in the wound bed傷口床有肉芽組織
— Explanation · 中文詳解 —
糖尿病病人因末梢循環不良與神經病變，足部潰瘍極易合併細菌感染。當傷口出現惡臭分泌物（Foul-smelling drainage）及周圍紅腫（Erythema）時，這是典型的感染徵象。對於糖尿病患者，感染擴散速度極快，若未及時處理，極可能進展為蜂窩性組織炎、骨髓炎，甚至需要截肢，因此必須立即回報醫師進行抗生素治療與傷口清創評估。
Foul-smelling drainage and surrounding erythema are classic signs of infection, which can progress rapidly in diabetic clients due to peripheral vascular disease and neuropathy. Immediate reporting is required to initiate antibiotic therapy and wound debridement to prevent serious complications such as cellulitis, osteomyelitis, or amputation.