The nurse is trying to complete a physical exam for a hospitalized 18-month-old with respiratory syncytial virus (RSV). The child is in the crib kicking, screaming, and trying to grip her mother, making the exam very difficult. The mother is visibly upset and asks, “Is there any other way we can do this?” The best response from the nurse is:

You can stand next to the crib during the exam and hold her arms down so I can listen to her lungs

You can pick her up and soothe her. Let’s try the exam while you hold her in your lap

I will let her calm down and come back when I am done with all my other patient exams and morning meds

I need to get this exam done and listen to her lungs. Unfortunately, this is the only way