A nurse is reinforcing teaching with a client who has peripheral vascular disease. Which of the following statements by the client indicates a need for further teaching?

Choice A reason: Not going barefoot is correct for peripheral vascular disease, as it protects feet from injury, especially with reduced sensation or circulation. This statement reflects understanding, as preventing trauma reduces infection risk and supports tissue integrity, requiring no further teaching for this aspect of care. Choice B reason: Wearing stockings with elastic tops is incorrect for peripheral vascular disease, as tight elastic can restrict blood flow, worsening ischemia or edema. Compression stockings, if prescribed, must be properly fitted. This statement indicates a need for further teaching to ensure appropriate management of circulation. Choice C reason: Using a thermometer to check bath water temperature is correct, as peripheral vascular disease reduces sensation, increasing burn risk. This statement reflects understanding of safety measures to protect skin integrity, requiring no further teaching, as it aligns with preventing thermal injury in affected limbs. Choice D reason: Avoiding crossing legs at the knees is correct, as it prevents compression of blood vessels, maintaining circulation in peripheral vascular disease. This statement shows understanding of proper positioning to avoid ischemia, requiring no further teaching, as it supports optimal blood flow management.