The client has type 2 diabetes mellitus. The nurse has taught the client about the illness and evaluates that learning has occurred when the client makes which statement?
1. "My beta cells just cannot produce enough insulin for my cells."
2. "My peripheral cells have increased sensitivity to insulin."
3. "My cells have increased their receptors, but there is not enough insulin."
4. "My cells cannot use the insulin my pancreas makes."
4
Rationale 1: The beta cells continue to produce insulin with type 2 diabetes.
Rationale 2: Peripheral cells have a decreased, not an increased, sensitivity to insulin.
Rationale 3: There is a decrease, not an increase, in receptor sites with type 2 diabetes.
Rationale 4: With type 2 diabetes mellitus, the pancreas produces insulin, but the cells cannot use it.
Global Rationale: With type 2 diabetes mellitus, the pancreas produces insulin, but the cells cannot use it. The beta cells continue to produce insulin with type 2 diabetes. Peripheral cells have a decreased, not an increased, sensitivity to insulin. There is a decrease, not an increase, in receptor sites with type 2 diabetes.
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