Which of the Following Situations Could Impact the Ability of a Client

Which of the following situations could impact the ability of a client to maintain his personal hygiene?

A) A client recently had his left leg surgically amputated above the knee.
B) A client performs meticulous foot care daily.
C) A client refuses to bathe every day,stating it is abnormal to do this in his culture.
D) The room temperature is set at 21°C.