Nurse has tried several times to obtain a throat culture on a PT, but PT has gagged, moved, and contaminated the tip of the swab during each attempt. What should the nurse do first?
1) Have PT look in the mirror, give him the swab, and coach him through the procedure
2) Inform provider that several unsuccessful attempts have been made
3) Instruct PT to open mouth and say a very long 'ahhh' and avoid using a tongue blade
4) Obtain an order for mild local anesthetic that will temporarily suppress gag reflex