A nurse is reinforcing teaching about disease management with a client who has GERD. Which of the following statements should the nurse make?

A. Incorrect. Laying down immediately after a meal can worsen GERD symptoms. Remaining upright for at least 23 hours after eating is recommended. B. Incorrect. Eating large meals can exacerbate GERD symptoms. Smaller, more frequent meals are advised. C. Incorrect. While coffee can trigger GERD symptoms in some, specifying a particular number of cups may not be appropriate. Avoiding triggers and monitoring symptoms is the general advice. D. Correct. Elevating the head of the bed while sleeping helps prevent stomach acid from flowing back into the esophagus, reducing nighttime GERD symptoms.