A nurse is providing education to a client with GERD about dietary modifications. What type of foods should the nurse advise the client to limit or avoid?

A) Correct. Alcohol can relax the lower esophageal sphincter (LES) and increase the risk of acid reflux, so it is recommended to avoid alcohol altogether to manage GERD.

B) Incorrect. Even one or two alcoholic beverages can contribute to GERD symptoms, so it is generally advised to avoid alcohol.

C) Incorrect. Alcohol can exacerbate GERD symptoms, so it is not recommended to consume it without moderation.

D) Incorrect. Limiting alcohol intake is important, but the recommended limit for those with GERD is typically lower than four drinks per day. It's generally advised to avoid alcohol or consume it in very limited quantities.

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.