Pain medication?

A middle-aged man with glomerulonephritis was admitted to a medical unit. During the night, he developed a nose bleed which could not be stopped by either the registered nurse or the licensed practical nurse for quite a while. Later the patient complained of nausea and vomited. However, he denied having any pain or discomfort.

The registered nurse contacted the resident on call for orders. The resident ordered an antiemetic for nausea and a pain medication. The nurse informed the resident that the patient was not having any pain. After being questioned by her about the need for the pain medication, the resident vehemently told the nurse to do as ordered--give both medications--and he hung up.

The nurse remembered vaguely from her nursing education that the pain medication that was ordered should not be given to patients with renal problems. At that moment, the nurse was paged to another unit for an emergency.

Questions:

What action, consistent with her scope of practice, should the nurse take?

Should she give both medications as ordered?

Should she give only the antiemetic?

Should she call another doctor?

Should she give neither, and leave the patient alone?

Could the patient actually need some pain medication, but not that one?

Chances are the nausea has passed by the time she gets back, and the point becomes moot.
If nausea persists, the correct procedure is to call the resident back. He's in training, and this is a part of his training, whether he appreciates it or not. Later, unless he's a dunce, he'll learn that the nurses will save him from his own stupidity, especially on those middle-of-the-night calls when he's not fully awake. Lord knows, they've saved me enough times! If the resident's really smart, he'll learn quickly, build a relationship with the nurse, and cover her so she'll feel comfortable giving the antiemetic/withholding the ketorolac (that has to be the analgesic in your scenario)/not waking him up again. If she's doing her whole job and not being vindictive, she'll also understand the resident is sleep-deprived and coax him into doing the right thing, perhaps reminding him of the effects of NSAID's on both renal blood flow and platelet aggregation. On the other hand, if the resident has dug himself a long-term hole.....

well she should have called the attending back & gave him the info of the pain med then write the new order & make sure all was documented word by word it's called CYA covering your @ss !! That's taught 1st year nursing