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

A) Reduced urine specific gravity
B) Increased blood pressure
C) Abnormal blood sugar
D) Fever with chills

Fever and chills may be observed. The presence of white blood cells in urine indicates a urinary tract infection or inflammation. Overhydration, early renal disease, and inadequate antidiuretic hormone secretion reduce specific gravity. Increased blood pressure is associated with renal disease or damage and some medications. Abnormal blood sugars would be seen in someone with ketones in the urine or a patient with diabetes.