A urgències, la infermera parla amb una pacient que té febre i tos.

Here a means at / in.

So A urgències means At the ER / In emergency.

A very common fuller version is A les urgències, literally at the emergency department. In everyday Catalan, people often shorten it to just A urgències.

• a = at / to
• urgències = emergency department, ER, emergencies

So this opening phrase sets the scene: At the ER, ...

Catalan normally uses urgències in the plural to refer to the emergency department / ER.

This is similar to how some places or institutions are conventionally named in one number or another and you just learn the standard form.

So:

• les urgències = the ER / emergency department

Even though English often uses singular ideas like the ER, Catalan uses the plural noun here.

The comma separates the introductory location phrase from the main clause.

• A urgències, = At the ER,
• la infermera parla amb una pacient... = the nurse speaks with a patient...

This is very natural punctuation when a sentence begins with a setting expression like time or place.

Infermera means nurse and here it is feminine singular, so it takes the feminine singular article la.

• la infermera = the nurse
• masculine: l’infermer = the male nurse

So the sentence specifically refers to a female nurse.

In Catalan, some nouns referring to people do not change form between masculine and feminine, or change less than English speakers might expect.

Here:

• un pacient = a male patient
• una pacient = a female patient

The article shows the gender:

• un = masculine
• una = feminine

So even though pacient ends in -ent, it can still refer to a woman when used with una.

Yes. Amb means with.

So:

• parla amb una pacient = speaks with a patient

This is the normal way to express speaking with someone:

• parlar amb algú = to speak with someone

You may also sometimes see parlar amb translated as talk to or talk with, depending on context.

This is a relative clause describing una pacient.

• que = who / that
• té = has
• febre i tos = fever and cough

So:

• una pacient que té febre i tos = a patient who has fever and cough

The word que is very common in Catalan for who / that / which in this kind of sentence.

Catalan usually expresses symptoms with the verb tenir (to have), just like English often does.

So:

• té febre = has a fever
• té tos = has a cough

This is the normal idiomatic pattern in Catalan:

• tenir febre
• tenir tos
• tenir mal de cap = to have a headache

So té febre i tos is exactly the kind of wording you would expect.

In Catalan, with many illnesses or symptoms, the noun often appears without an article after tenir.

So:

• té febre = she has a fever
• té tos = she has a cough

This is normal Catalan usage. English often uses a with some of these expressions, but Catalan frequently does not.

Compare:

• Té febre.
• Té tos.

Both sound natural without una.

Yes. Té is the 3rd person singular form of tenir (to have) in the present tense.

Present tense of tenir:

• jo tinc = I have
• tu tens = you have
• ell/ella té = he/she has
• nosaltres tenim = we have
• vosaltres teniu = you all have
• ells/elles tenen = they have

In this sentence, té refers to una pacient, so it means she has.

This is the normal basic Catalan word order:

• subject: la infermera
• verb: parla
• complement: amb una pacient

So:

• La infermera parla amb una pacient. = The nurse speaks with a patient.

Catalan often follows a word order similar to English in straightforward statements, which makes this sentence quite easy to recognize structurally.

A rough pronunciation guide for an English speaker:

• urgències ≈ oor-JEN-see-uz
• infermera ≈ eem-fehr-MEH-ruh

A few helpful notes:

• The written accent in urgències shows where the stress goes: -gèn-
• In té, the accent also marks the stressed vowel
• Catalan r is usually lighter or tapped compared with many English r sounds

This is only approximate, but it can help you get started.

Yes. A les urgències is very common and may sound more complete to learners.

• A urgències = at the ER
• A les urgències = at the ER

Both are used, but A urgències is a common shortened expression in everyday language, especially in medical or hospital contexts.