If pain remains disproportionately high after initial reassessment, what is the appropriate next step?

• A. Deny the patient’s pain.
• B. Escalate for evaluation or follow orders.
• C. Increase the dose without reassessment.
• D. Ignore the complaint.

Answer: (B)

When pain remains disproportionately high after initial reassessment, the appropriate next step is to escalate for evaluation or follow orders. This ensures the pain management plan is reviewed promptly and adjusted as needed rather than continuing with inadequate relief. It may mean trying a different analgesic, increasing the dose within safety limits, adding an adjuvant, or pursuing nonpharmacologic interventions, all guided by clinician orders or institutional protocols. Document the current pain score, location, and any vitals or response to treatment, and communicate promptly so the care team can address potential underlying causes and optimize relief.