What statement by a client with GERD indicates an understanding of discharge teaching?

The statement indicating an understanding of discharge teaching is that the client will limit activities that require bending at the waist. This is important for managing gastroesophageal reflux disease (GERD) because bending at the waist can increase intra-abdominal pressure and exacerbate symptoms by allowing stomach contents to move back up into the esophagus. Correctly understanding this can help the client to minimize discomfort and manage their condition more effectively.

Options that suggest lying down to eat, avoiding medications, or eating large meals before sleeping are counterproductive in managing GERD. Eating while lying down can lead to increased acid reflux, as the supine position does not aid in keeping stomach contents where they belong. Suggesting to avoid medications misrepresents the role of pharmacologic treatments, which are often critical in controlling acid production and symptoms in GERD. Finally, consuming large meals before sleeping is likely to worsen reflux symptoms because it places excess pressure on the lower esophageal sphincter, especially when the client is lying down. These misunderstandings highlight the importance of proper education in managing GERD effectively.