The client has been diagnosed with type 1 diabetes mellitus. He asks the nurse what this means. What is the best response by the nurse?
1. "The exocrine function of your pancreas is to secrete insulin, and it is not working."
2. "Without insulin you will develop ketoacidosis (DKA)."
3. "The endocrine function of your pancreas is to secrete insulin, but it isn't working."
4. "Your alpha cells should be able to secrete insulin, but cannot."
5. "It means your pancreas cannot secrete insulin."
2,3,5
Rationale 1: The endocrine, not the exocrine, function of the pancreas is to secrete insulin.
Rationale 2: A consequence of diabetes mellitus type 1 is that, without insulin, severe metabolic disturbances, such as diabetic ketoacidosis (DKA) will result.
Rationale 3: The endocrine function of the pancreas is to secrete insulin.
Rationale 4: Insulin is secreted by the beta, not the alpha, cells of the pancreas.
Rationale 5: One function of the pancreas is to secrete insulin.
Global Rationale: A consequence of diabetes mellitus type 1 is that, without insulin, severe metabolic disturbances, such as diabetic ketoacidosis (DKA) will result. The endocrine function of the pancreas is to secrete insulin. One function of the pancreas is to secrete insulin. The endocrine, not the exocrine, function of the pancreas is to secrete insulin. Insulin is secreted by the beta, not the alpha, cells of the pancreas.
You might also like to view...
A nurse is monitoring a client who is receiving a dopamine hydrochloride drip for the treatment of shock. What symptom would indicate a possible overdose of this medication?
A. Pallor B. Hypertension C. Palmar erythema D. Increased pulse deficit
The nurse assesses the stable client and finds cool pale extremities. Which nursing diagnosis does the nurse add to the client's plan of care?
1. Impaired skin integrity 2. Altered tissue perfusion 3. Altered nutritional state 4. Impaired cardiac output
For which of the following situations should the nurse prepare for administration of protamine sulfate?
a. Patient on warfarin with INR of 4 and tarry stools b. Patient on warfarin with PT of 12 seconds and bleeding from a laceration c. Patient on a heparin drip with a PTT >120 seconds and active GI bleeding d. Patient on a heparin drip with a PTT of 60 seconds and pink-tinged urine in the catheter bag
When endothelial cells are injured, what alteration contributes to atherosclerosis?
a. The release of toxic oxygen radicals that oxidize low-density lipoproteins (LDLs) b. Cells are unable to make the normal amount of vasodilating cytokines. c. Cells produce an increased amount of antithrombotic cytokines. d. Cells develop a hypersensitivity to homocysteine and lipids.