The nurse is collecting data for a patient who has GERD. Which of the following findings is a manifestation of GERD?

A. Pain relieved by taking antacids: GERD-related chest or epigastric pain is typically relieved by antacids, which neutralize stomach acid. B. Absent bowel sounds: This suggests ileus or obstruction, not GERD. C. Elevated temperature: Fever is not a common finding in GERD unless there’s a secondary infection. D. Decreased ammonia level: Ammonia levels are associated with liver disease, not GERD.