A nurse is teaching clients with gastroesophageal reflux disease (GERD) about foods to avoid. Which foods should the nurse include in the teaching? (Select all that apply.)
a. Chocolate
b. Decaffeinated coffee
c. Citrus fruits
d. Peppermint
e. Tomato sauce
ANS: A, C, D, E
Chocolate, citrus fruits such as oranges and grapefruit, peppermint and spearmint, and tomato-based products all contribute to the reflux associated with GERD. Caffeinated teas, coffee, and sodas should be avoided.
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