A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?

A. History of ibuprofen use: NSAIDs like ibuprofen can damage the gastric mucosa and are a well-known cause of peptic ulcers, especially when used long-term or at high doses. B. Drinks green tea: Green tea is not associated with ulcer formation and may even have mild anti-inflammatory properties. C. History of bulimia: While bulimia can cause esophageal damage from repeated vomiting, it is not a direct cause of peptic ulcers. D. Consumes spicy foods 5 to 8 times weekly: Spicy foods may irritate existing ulcers, but do not cause them.