A client who has been diagnosed with gastroesophageal reflux disease (GERD) complains of heartburn. To decrease the heartburn, the nurse should instruct the client to eliminate which of the following items from the diet?

A. Air-popped popcorn: This is low-fat, high-fiber, and generally GERD-safe. B. Hot chocolate: Chocolate relaxes the lower esophageal sphincter and increases acid reflux. Hot drinks may also aggravate symptoms. C. Raw vegetables: Generally beneficial for digestion unless they cause bloating; not typical GERD triggers. D. Lean beef: Low-fat meats are generally acceptable in a GERD-friendly diet.