Difficulty: Medium
Average Score: 90%
Simulated
The toilet-trained child presents with incontinence, strong-smelling urine, frequency, and urgency. What laboratory specimen should the nurse collect first?
Correct answer
B
Rationale
Incontinence, strong-smelling urine, frequency, and urgency suggest a UTI, so a routine UA is the first test to collect. Serum creatinine evaluates kidney function but is not the first step. A CBC may evaluate infection but is not the first test. A blood culture is unnecessary unless sepsis is suspected.