A patient with acute pancreatitis asks the nurse why everyone is concerned about his blood glucose level. Which of the following would be an appropriate response for the nurse to make?
1. everyone with pancreatitis develops diabetes
2. there are cells in the pancreas that make insulin which helps utilize glucose in the cells and an injury to the pancreas can injure those cells
3. it is because of the high amounts of intravenous fluids you are receiving
4. it is because you are not eating and it is a check to make sure you have enough of a blood sugar level
2
Rationale: Insulin is a polypeptide produced by the beta cells of the islets of Langerhans in the pancreas whose role is to lower the blood glucose level. An injury to the pancreas can injure these cells. This is what the nurse should explain to the patient. The nurse should not say that everyone with pancreatitis develops diabetes because this is not true. The nurse should also not say that the reason for checking the patient's blood glucose level is because of the volume of intravenous fluids. The nurse should also not tell the patient that checking the blood glucose level is being done because the patient is not eating.
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