A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize that which of the following statements by the client indicates a need for further teaching?

A. "I will wear stockings with elastic tops." Tight elastic tops or constrictive bands can act like a tourniquet and further impair arterial blood flow in peripheral arterial disease/PVD; looser, nonconstricting coverings or graduated compression only when recommended for venous disease are safer. B. "I will avoid crossing my legs at the knees." Crossing legs can impede blood flow and should be avoided to reduce vascular compromise. C. "I will use a thermometer to check the temperature of my bath water." Reduced sensation can lead to burns; checking water temperature helps prevent injury. D. "I will not go barefoot." Barefoot walking increases risk of foot injury and infection in patients with vascular disease and impaired healing.