A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD) about minimizing the effects of reflux during sleep. Which of the following client statements indicates an understanding of the teaching?

A. "I will have a snack 1 hour before going to bed." Eating before bed increases the risk of reflux. Clients should avoid eating 2–3 hours before lying down. B. "I can have 6 ounces of alcohol before bed, to help me sleep." Alcohol relaxes the lower esophageal sphincter and worsens GERD. C. "I should elevate the head of the bed." Raising the head of the bed helps prevent acid from refluxing into the esophagus during sleep. D. "I will sleep on my stomach with my head flat." Sleeping flat increases the likelihood of acid reflux.