4 Highlight Strikeout | Calculator Lab Values Note Mark Vital Signs Click to indicate whether each symptom in the table correlates with an acute Health History Nurses' Notes urinary tract infection (UTI): cystitis, pyelonephritis, or urosepsis. . . 0900: The client presents to ED with urinary frequency, urgency, and bouts of nausea. In addition, the family reports that the Sign or Symptom Cystitis Pyelonephritis Urosepsis client has been confused on and off over the last two days with a poor appetite. Low back/flank pain The client is alert and oriented to person and place on exam but disoriented regarding the date and time. Reports abdominal/pelvic pain 6/10. Urine is cloudy with a foul smell and gross hematuria. Dysuria/ urgency/ frequency Hypotension Fever Tachypnea/ tachycardia Hematuria Costovertebral angle (CVA) tenderness