An 86-Year-Old Patient Asks Why Her Ankles Have a Brownish

An 86-year-old patient asks why her ankles have a brownish discoloration and the skin looks thick.Which response best addresses the patient's concern?

A) "The valves in the vessels in your legs aren't working as well as they used to, which causes the discoloration and thickening of your skin."
B) "You probably aren't getting enough iron in your diet. We should talk to your doctor about adding an iron supplement."
C) "How many years have you smoked? Nicotine will cause these changes in your skin."
D) "These are just normal changes seen in most older people."