A nurse is providing instructions about foot care for a client who has peripheral arterial disease. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching?

Nursing education for a client with Peripheral arterial disease focuses on improving limb perfusion, preventing tissue injury, and promoting safe foot care practices. Peripheral arterial disease results from atherosclerotic narrowing of peripheral arteries, leading to reduced oxygen delivery to tissues. Clients are at high risk for skin breakdown, delayed wound healing, and infection due to poor circulation. Foot care instructions must prioritize gentle skin management, avoidance of thermal injury, and promotion of blood flow. Rationale: A. Soaking feet in hot water before trimming toenails is unsafe because reduced sensation and poor circulation in peripheral arterial disease increase the risk of burns and tissue injury. Hot water can cause thermal damage that may go unnoticed and lead to skin breakdown or infection. Toenail care should be performed carefully without prolonged soaking or heat exposure. B. Using a heating pad on a low setting is not recommended because clients with peripheral arterial disease often have decreased sensation, increasing the risk of burns even at low temperatures. Heat can further damage already compromised tissues and worsen skin integrity. Safer methods of keeping feet warm include wearing socks or using blankets. C. Resting in a recliner with feet elevated for about an hour daily is not appropriate for peripheral arterial disease because elevation reduces arterial blood flow to the lower extremities. Clients with PAD often experience improved perfusion when the legs are in a dependent position. Elevating the legs can worsen ischemia and increase pain. D. Applying a lubricating lotion to cracked areas on the soles of the feet is correct because it helps maintain skin integrity and prevents further cracking and infection. Dry, fragile skin is common in peripheral arterial disease due to poor circulation, and moisturizing reduces the risk of fissures and ulcer formation. Care should be gentle, avoiding application between toes to prevent fungal growth.