A nurse is caring for a toddler who has von Willebrand disease. The toddler's parents are concerned about the bleeding risk with vaccinations. Which of the following is accurate information the nurse should share with the parents?

A. Children with von Willebrand disease (vWD) should still receive recommended vaccines because the risk of serious infections is much higher than the risk of minor bleeding from an injection. The nurse can educate parents that using proper techniques—such as applying firm pressure for several minutes after injection, using a fine-gauge needle, and avoiding aspiration—can minimize bruising or bleeding at the injection site. B. There is no clinical recommendation to limit vaccines to one per visit in children with vWD. Multiple vaccines can safely be given if proper precautions are taken, as delaying vaccines increases the risk of preventable infections. C. Avoiding vaccinations is not recommended; the benefits of immunization significantly outweigh the manageable risk of minor bleeding in children with vWD. D. While intranasal vaccines avoid intramuscular injections, not all vaccines are available in this form. Most children with vWD can safely receive intramuscular vaccines with proper precautions. Limiting to nasal sprays could leave the child unprotected from many important infections.