A medical resident admits a patient overnight with uncontrolled blood pressure. He means to write an order for the angiotensin receptor Diovan at 10mg once a day. Because of his sloppy handwriting the nurses and pharmacy administer digoxin at 10mg a day. This is a drug that is rarely used at dose above .5mg a day. Thirty-six hours later the patient developed hemodynamically unstable rhythm disorder that the resident tries to decipher but cannot and the patient is transferred to the ICU. In the ICU they discover the overdose. The patient and family never find out. Which statement most accurately describes the situation.

Rita schmidt, 74 years of age, is a female patient who was admitted to the surgical unit after undergoing removal of a section of the colon for colorectal cancer. the patient does not have a colostomy. the patient has several small abdominal incisions and a clear dressing over each site. the incisions are well approximated and the staples are dry and intact. there is a jackson-pratt drain intact with minimal serous sanguineous drainage present. the patient has a salem sump tube connected to low continuous wall suction that is draining a small amount of brown liquid. the patient has no bowel sounds. the foley catheter has a small amount of dark amber-colored urine without sediments. the patient has sequential compression device (scd) in place. the nurse performs an assessment and that the patient's breath sounds are decreased bilaterally in the bases and the patient has inspiratory crackles. the patient's cardiac assessment is within normal limits. the patient is receiving o2 at 2 l per nasal hg; heart rate 110 bpm; respiratory rate 16 breaths/min; and the patient is afebrile. the patient is confused as to place and time. cannula with a pulse oximetry reading of 95%. the vital signs include: blood pressure, 100/50 mm. a. explain the assessment parameters used to provide clues to detect postoperative problems early and the interventions needed. b. what gerontological postoperative considerations should the nurse make?