Bill James, 67 Years Old, Is Being Seen in the Clinic

Bill James, 67 years old, is being seen in the clinic for complaints of regurgitation, pyrosis, hoarseness, chronic cough, and atypical chest pain.The nurse practitioner suspects gastroesophageal reflux disease (GERD) .As home-going instructions are developed, the nurse practitioner includes which of the following? Select any that apply.

A) Raise the head of the bed 2 inches.
B) Avoid tight, restrictive clothing.
C) Avoid smoking and ingestion of fatty foods.
D) Avoid eating a meal for at least 20 minutes before becoming recumbent.
E) Avoid caffeine and acidic foods.