A nurse is caring for a client who is postpartum. The nurse should identify which of the following findings as a manifestation of a urinary tract infection?

• A. Pyuria
• B. Urinary frequency
• C. Hematuria
• D. Fever and chills

Answer: (C)

Hematuria is a common clinical manifestation of a urinary tract infection. Inflammation of the urinary tract lining from infection can irritate the bladder mucosa and small vessels, leading to blood in the urine. This is something a nurse can observe as part of the patient’s symptoms.

Fever and chills usually point to a more systemic process, such as pyelonephritis or sepsis, rather than a simple lower UTI. Urinary frequency is indeed a symptom of a UTI, and pyuria (pus in the urine) is a laboratory finding seen on urinalysis rather than a direct bedside manifestation. So among the options, hematuria best represents a detectable manifestation of a UTI in this context.