Author Question: The client who has been diagnosed with diabetes mellitus type 1 asks the nurse what this means. What ... (Read 90 times)

jjjetplane · **on:** Jul 22, 2018

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..

Question 2

The nurse plans a teaching session for elderly clients to help them recognize the early symptoms of a urinary tract infection. The nurse teaches which of the following to the group?

1. Urinary frequency
2. Urinary urgency
3. Alteration in cognition
4. Gross hematuria

orangecrush · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

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.

Answer to Question 2

3. Alteration in cognition

Rationale: The early manifestations of a urinary infection differ in a senior from those seen in younger adults. Older adult clients will often be asymptomatic until there are changes in the level of consciousnesses.