The client who has been diagnosed with diabetes mellitus type 1 asks the nurse what this means. What is the best response by the nurse? (Select all that apply.)
1. "The exocrine function of your pancreas is to secrete insulin.".
2. "It means your pancreas cannot secrete insulin.".
3. "The endocrine function of your pancreas is to secrete insulin.".
4. "Your alpha cells should be able to secrete insulin, but cannot.".
5. "Without insulin you will develop ketoacidosis.".
2. "It means your pancreas cannot secrete insulin.".
3. "The endocrine function of your pancreas is to secrete insulin.".
5. "Without insulin you will develop ketoacidosis.".
Rationale:
One function of the pancreas is to secrete insulin. The endocrine function of the pancreas is to secrete insulin. A consequence of diabetes mellitus type 1 is that without insulin, severe metabolic disturbances, such as diabetic ketoacidosis (DKA) will result. 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.
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