A patient has oral hygiene ordered every 4 hours. Which action should the nurse take?

1. Have the patient swish with mouthwash only and skip brushing the teeth entirely
2. Brush teeth, clean tongue, floss if able, apply lip balm, document response
3. Skip the scheduled care whenever the patient says they will just do it later
4. Clean only the upper teeth to save time during the busy understaffed shift

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