A nurse has received report on a client who has a basilar skull fracture. Which of the following findings should the nurse anticipate with this client?

A. Severe myopia: Severe myopia refers to nearsightedness and is not typically associated with Meniere's disease. Myopia affects vision but is unrelated to the characteristic symptoms of Meniere's disease.

B. Vertigo: Vertigo is a hallmark symptom of Meniere's disease. It is characterized by a sensation of spinning or dizziness, often accompanied by nausea, vomiting, and imbalance. Vertigo episodes in Meniere's disease can be severe and debilitating, significantly impacting the individual's quality of life.

C. Anosmia: Anosmia refers to a loss of sense of smell and is not a typical manifestation of Meniere's disease. Meniere's disease primarily affects the inner ear and is characterized by symptoms related to vestibular dysfunction, such as vertigo, rather than olfactory disturbances.

D. Photopsia: Photopsia refers to the perception of flashing lights or visual disturbances and is not a characteristic manifestation of Meniere's disease. Visual disturbances may occur in certain conditions affecting the eyes or visual pathways but are not typically associated with Meniere's disease, which primarily affects the inner ear and vestibular system.

A. "I stopped taking aspirin last week.": Stopping aspirin medication prior to surgery is often advised to reduce the risk of bleeding during and after the procedure. The nurse may confirm the timing of discontinuation with the client and verify if any other anticoagulant medications are being taken.

B. "I did not put my contact lenses in this morning.": Removing contact lenses before surgery is a routine precaution to prevent potential corneal abrasions or complications during the procedure. This statement indicates the client is following preoperative instructions.

C. "I took my blood pressure meds with a sip of water.": Taking blood pressure medications with a small amount of water is generally acceptable before surgery. However, the nurse may verify the specific medications the client is taking and their dosing schedule to ensure compliance.

D. "I had a cough and runny nose a couple days ago.": This statement requires further investigation as respiratory symptoms, such as cough and runny nose, may indicate an underlying respiratory infection. Infections can increase the risk of complications during surgery, such as anesthesia-related respiratory issues or postoperative infections. The nurse should assess the severity and duration of the symptoms, inquire about any fever or recent exposure to illnesses, and consider notifying the surgical team for further evaluation and decision-making regarding the client's surgical readiness.