A nurse is reinforcing discharge teaching with a client who has a new diagnosis of gastroesophageal disease (GERD). Which of the following foods should the nurse include in the list of foods the client should avoid?

A. Oatmeal: Oatmeal is a low-fat, high-fiber food that is safe and recommended for clients with GERD. It does not exacerbate reflux. B. Nonfat milk: Nonfat milk is generally neutral and can be consumed safely by clients with GERD. Full-fat dairy may worsen symptoms. C. Chocolate: Chocolate contains caffeine and theobromine, which relax the lower esophageal sphincter and increase the risk of acid reflux, making it a food to avoid. D. Apples: Most apples are non-acidic or mildly acidic and are well tolerated; they are not considered major triggers for GERD symptoms.