A client presents to the outpatient clinic with fever and dysuria and voices concern of another urinary infection. The client has a history of 6 urinary infections over the past year. After assessing the client, the nurse interprets findings to be consistent with pyelonephritis. Which finding is characteristic of pyelonephritis?
a. bloody,or foulsmelling urine.
b. costovertebral angle tenderness.
c. hypotension.
d. proteinuria.
e. urinary frequency