Mr. Alvarez, a 78-year-old man with a history of hypertension, is being discharged from the hospital after experiencing a hypertensive crisis. He has been prescribed lisinopril 10 mg daily and is receiving stroke prevention education from the nurse. The nurse reviews lifestyle changes, blood pressure monitoring, and medication safety. Which of the following statements made by Mr. Alvarez requires follow-up education?

A. "I'll reduce salt in my meals and try walking at least 30 minutes each day.": Appropriate lifestyle changes; reducing sodium and regular moderate exercise support blood pressure control and stroke prevention. B. "I'll take my lisinopril at the same time every day, even if my blood pressure seems normal.": Good medication-adherence plan - taking an ACE inhibitor consistently maintains therapeutic effect and prevents rebound hypertension. C. "I'll avoid taking ibuprofen for my arthritis pain unless I talk to my doctor first.": Appropriate caution - NSAIDs can blunt antihypertensive effect and increase risk of renal impairment when used with ACE inhibitors; provider guidance is warranted. D. "If I get dizzy or lightheaded, I'll skip a few doses of lisinopril until I feel better.": Needs follow-up education - skipping doses can destabilize blood pressure and is not the recommended response to orthostatic symptoms; the patient should report symptoms so the provider can adjust dose or give specific guidance on safety measures.