The client has been diagnosed with diabetes mellitus type 1. 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."
Correct Answer: 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.
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