A patient undergoes ERCP and stones and bile are released, but imaging indicates a stone is still within the cystic duct and gallbladder. A surgeon was consulted and a laparoscopic cholecystectomy was ordered.

1.     List four to five preoperative orders that will likely need to be done before the patient goes to surgery.

2.      If he had a laparoscopic cholecystectomy, which discharge instruction would the nurse advise the patient and what is the rational for the correct choice.

a.     Keep the incision areas clean and dry for at least a week

b.     Report he need to take pain medication for shoulder pain

c.     Report any bile-colored or purulent drainage from the incisions

d.     Expect some postoperative nausea and vomiting for a few days