A nurse is caring for a client who consumed alcohol 2 days after taking disulfiram. The nurse should monitor the client for which of the following findings?

Choice A reason: Glasses on the bedside table may be inaccessible for a quadriplegic client lacking arm movement. This doesn’t ensure immediate utility or safety. Scientifically, quadriplegia limits motor function, requiring adaptive aids within reach, making this less practical than direct assistance options.

Choice B reason: Placing the call light within reach empowers the quadriplegic client to summon help, addressing their limited mobility. This aligns with scientific rehabilitation principles, enhancing independence and safety by ensuring communication access, critical for managing needs in paralysis effectively.

Choice C reason: Checking every 4 hours is insufficient for quadriplegia, where urgent needs (e.g., pressure sores) arise faster. Scientifically, frequent monitoring is standard, and this gap risks neglect, making it less proactive than enabling client-initiated contact for timely care and intervention.

Choice D reason: A room near the station aids staff response but doesn’t guarantee immediate help without client input. Scientifically, proximity alone doesn’t address quadriplegia’s dependency needs as directly as a call light, which ensures the client can signal distress promptly.

Choice A reason: Meningococcal vaccine starts at 11-12 years, not infancy; three doses by kindergarten is incorrect. Scientifically, this misaligns with CDC schedules, as 2-month-olds get other vaccines (e.g., DTaP), showing misunderstanding of immunization timing.

Choice B reason: No feeding restriction exists for immunizations; fasting isn’t required. Scientifically, nutrition supports immune response, and this contradicts standard practice, as feeding doesn’t affect vaccine efficacy or safety, indicating a preparation misconception.

Choice C reason: High fever for 24 hours isn’t typical; mild fever may occur but not guaranteed. Scientifically, this exaggerates normal vaccine reactions (e.g., low-grade fever), misrepresenting expected immune responses, suggesting inaccurate outcome expectations.

Choice D reason: Rotavirus vaccine is oral at 2 months, per CDC schedule, aligning with its live attenuated form. Scientifically, this reflects correct administration knowledge, as it targets gut immunity, showing the guardian understands this immunization’s delivery accurately.