Nurses' Notes Preoperative 0730: The client is scheduled for a left stapedectomy. Pupils 3.5 mm, equal, round, and reactive to light. Smile symmetrical. Mucous membranes show color expected for the client's skin tone and moisture. Speech clear. Skin warm and dry. Lungs clear bilaterally. Apical heart rate regular at 78/min. Postoperative 1230: Pupils were 3 mm, equal, and reactive to light. Smile asymmetrical. Mucous membranes pink. Speech hoarse. Client with left facial droop Skin warm and dry. The client reports vertigo and nausea. Bilateral breath sounds clear and present throughout. Apical heart rate regular at 92/min. The client reports left ear discomfort and rates the pain as 5 on a scale of 0 to 10. The client states that her hearing has diminished following surgery. Which of the following findings requires further action by the nurse? Select all that apply.