A patient with a deep partial thickness burn has been receiving hydromorphone through patient-controlled analgesia (PCA) for 1 week. The nurse caring for the patient during the previous shift reports that the patient wakes up frequently during the night reporting pain. What action by the nurse is appropriate?

Rationale: A. This is unsafe and could cause oversedation and respiratory depression. PCA use should be based on the patient’s reported pain, not preemptive frequent dosing. B. A bolus dose treats breakthrough pain but does not address the ongoing issue of poor pain control throughout the night. C. Only the patient should control the PCA. The nurse must never administer PCA doses for the patient due to safety risks. D. Since the patient continues to experience pain despite PCA use, the regimen may need adjustment. The provider may prescribe additional adjuvant analgesics, alter the opioid, or modify the PCA settings for better control.