A nurse is educating a client about the physiology of GERD. What factor contributes to the weakening of the lower esophageal sphincter (LES) in GERD?

A) Incorrect. High-fiber foods like fruits and vegetables are generally beneficial for overall health and digestion. They are not typically associated with exacerbating GERD symptoms.

B) Correct. Fatty and fried foods can lead to delayed gastric emptying, which can contribute to acid reflux. It is advisable to limit or avoid these types of foods in the management of GERD.

C) Incorrect. Lean protein sources like chicken and fish are generally well-tolerated and do not typically worsen GERD symptoms.

D) Incorrect. Whole grains like brown rice and whole wheat bread are generally considered healthy and are not typically associated with exacerbating GERD symptoms.

A) Incorrect. Weakening of the lower esophageal sphincter (LES) does not lead to a significant decrease in stomach acid production.

B) Correct. When the LES weakens, it allows stomach contents, including acid, to flow back into the esophagus, resulting in the characteristic symptoms of GERD.

C) Incorrect. Weakening of the LES is not associated with an overproduction of digestive enzymes in the stomach.

D) Incorrect. The diaphragm muscle is not directly involved in the weakening of the LES in GERD. It is primarily related to the relaxation of the LES.