For each finding listed below, click to specify if the finding indicates the client's condition has improved, has not changed, or has declined.

WBC Count The white blood cell count increased from 14,600/mm³ to 18,900/mm³, which indicates worsening infection and inflammation. This finding shows the client’s condition has declined. Respiratory Rate The respiratory rate remained at 22/min across both days. Since there was no change, this finding indicates the condition has not changed. Bowel Sounds Bowel sounds were present on both days, but by Day 2 the client was tolerating clear fluids without nausea, which suggests improved gastrointestinal function. This finding indicates improvement. Pain Pain decreased from 9/10 to 3/10 after treatment with hydromorphone and supportive care. This is a clear improvement in the client’s condition. Rebound Tenderness Rebound tenderness persisted on Day 2, which indicates ongoing peritoneal irritation. This finding shows the condition has declined. Nausea The client initially reported nausea and requested an emesis basin, but by Day 2 denied nausea and tolerated clear fluids. This indicates improvement. Temperature The temperature increased slightly from 39.2°C to 39.4°C, showing persistent fever and worsening infection. This finding indicates the condition has declined.