A nurse is teaching a client who has a new prescription for esomeprazole to manage his GERD. Which of the following statements by the client indicates an understanding of the teaching?

A. "Won't pass gas as often now that I am taking this medication.": Esomeprazole is a proton pump inhibitor (PPI) used to reduce stomach acid, and it does not typically reduce flatulence. This statement reflects a misunderstanding of how the medication works. B. "Will need to take a daily stool softener while taking this medication.": While constipation can be a side effect of esomeprazole, it is not mandatory to take a stool softener with this medication. This statement suggests unnecessary use of a stool softener. C. "Have an increased risk of getting pneumonia while taking this medication.": Long-term use of proton pump inhibitors like esomeprazole is associated with an increased risk of respiratory infections, including pneumonia. The medication can alter stomach pH and promote bacterial overgrowth, which can then be aspirated into the lungs. D. "I will take this medication each morning with my breakfast.": Esomeprazole should typically be taken 30 minutes before a meal, usually in the morning, to maximize its effectiveness in reducing stomach acid.