A client has been admitted to the hospital with acute glomerulonephritis. The nurse plans to collect data and initially asks the client about a recent history of:

a) Normal hearing: In normal hearing, air conduction (AC) should be greater than bone conduction (BC), meaning BC > AC is not a normal finding.
b) Cochlear defect: A cochlear defect would result in sensorineural hearing loss, which would show a normal Rinne test (AC > BC).
c) Conductive hearing loss: BC > AC indicates conductive hearing loss, where sound transmission through the external or middle ear is impaired, allowing bone conduction to be heard more clearly than air conduction.
d) Sensorineural hearing loss: Sensorineural hearing loss typically shows a normal or positive Rinne test (AC > BC), as the issue lies with the inner ear or auditory nerve, not the conduction of sound.

a) Take the client's temperature: This action is important but not the first priority. The nurse should first assess the nature of the drainage to determine whether it is cerebrospinal fluid (CSF).
b) Place a dressing under the client's nose: This action is also important to manage the drainage but does not address the need to determine the source of the drainage.
c) Test the drainage for glucose: The presence of glucose in the drainage is a key indicator that it is CSF. CSF typically contains glucose, and this test will help confirm whether the drainage is cerebrospinal fluid, which could indicate a serious complication like a CSF leak from a basal skull fracture.
d) Notify the charge nurse: While notifying the charge nurse is important, the first action is to test the drainage for glucose to determine its nature and assess the potential risks.