A client with frequent heartburn requests education from the nurse about antacids. What information should be included in the teaching? Select all that apply.

A. Antacids can be used to prevent ulcers caused by stress: Antacids do not prevent stress-related mucosal damage or ulcer formation. They provide symptomatic relief by neutralizing acid but do not protect the gastric lining or address the underlying causes of ulcers. B. Antacids may mask underlying disease when used long-term: Chronic use of antacids can temporarily relieve symptoms of serious conditions such as GERD, gastritis, or peptic ulcer disease. Long-term symptom masking may delay diagnosis and treatment of the underlying disorder. C. Antacids reduce pain by neutralizing acid secretions: Antacids contain alkaline compounds that chemically neutralize hydrochloric acid in the stomach. This neutralization increases gastric pH and alleviates irritation and heartburn-related discomfort. D. Antacids should be taken 1 to 2 hours apart from other medications: Antacids can interfere with the absorption of certain drugs, including antibiotics and thyroid medications. Separating doses reduces the risk of decreased drug efficacy and potential interactions. E. Antacids are available over-the-counter in various forms: Antacids come in tablets, chewables, liquids, and effervescent formulations. OTC availability allows clients to self-manage occasional heartburn, but proper education on use and timing is essential.