The client is learning how to plan his meal using the exchange ...

[waynest]

The client is learning how to plan his meal using the exchange list to maintain a 2000-calorie diet. The client knows that he can choose from a variety of foods as long as he uses the correct number of choices with each meal.
 
  Which of the following are correct guidelines for his carbohydrate choices per meal in the 2000-calorie plan? Select all that apply. A) 2 servings from milk group
  B) 1 serving from the bread, cereal, rice, and pasta group
  C) 1 serving of fruit
  D) 3 servings of nonstarchy foods

Question 2

The nurse is teaching the client with newly diagnosed type 2 diabetes mellitus how to keep track of his caloric intake.
 
  Although it is commonly assumed that fiber does not provide any calories, the client is surprised to learn that research indicates that the caloric value of fiber is which of the following? A) Between 1 cal/g and 2 cal/g C) Between 2 cal/g and 3 cal/g
  B) Between 1.5 cal/g and 2.5 cal/g D) Between 2.5 cal/g and 3.5 cal/g

[gabrielle_lawrence]

Answer to Question 1

B, C, D
Feedback:
The exchange list plan allows: 1 serving from the bread, cereal, rice, and pasta group; 1 serving of fruit; 1 serving from the milk group; 1 serving from the sweets and desserts; and 3 servings of nonstarchy vegetables. The diet should also include 4 to 6 oz of lean meat or meat substitutes per day, plus healthy fats.

Answer to Question 2

B
Feedback:
It is commonly assumed that fiber does not provide any calories because it is not truly digested by human enzymes. Yet most fibers, particularly soluble fibers, are fermented by bacteria in the colon and produce carbon dioxide, methane, hydrogen, and short-chain fatty acids, which serve as a source of energy for the mucosal lining of the colon. Although the exact energy value is unknown, current data indicate the value is between 1.5 cal/g and 2.5 cal/g.