Which clinical manifestation will the nurse expect to observe in a patient with excessive white blood cells present in the urine?

Choice A reason: Reduced specific gravity indicates dilute urine, often due to high fluid intake or renal issues, not directly linked to excessive white blood cells (pyuria). Pyuria typically results from infection or inflammation, which does not inherently alter urine concentration or specific gravity measurements. Choice B reason: Abnormal blood sugar is associated with diabetes or metabolic disorders, not directly with white blood cells in urine. While urinary infections may occur in diabetic patients, pyuria itself does not cause or indicate blood sugar abnormalities, making this an unrelated manifestation. Choice C reason: Excessive white blood cells in urine often indicate a urinary tract infection (UTI). Infections trigger an immune response, releasing pyrogens that cause fever and chills. These systemic symptoms reflect the body’s attempt to combat pathogens, commonly observed in UTIs or pyelonephritis. Choice D reason: Increased blood pressure is not a direct consequence of white blood cells in urine. While chronic kidney infections could indirectly affect blood pressure via renal damage, pyuria itself does not immediately cause hypertension, making this an unlikely primary manifestation.