19-year-old female admitted with abdominal pain localized to the right lower quadrant. The onset of pain was twelve hours ago, and the client now reports pain is worsening when the client coughs. Endorses nausea and has persistent vomiting.

Oral temperature 101° F (38.3°C)

Pulse 90/minute

Respirations 18/minute

Blood Pressure 110/66 mm Hg

Oxygen saturation 96% on room air

White blood cell count, 11,500 mm³ (5,000-10,000 mm³)

Creatinine, 0.9 mg/dL (0.6-1.2 mg/dL)

BUN 26 mg/dL (10-20 mg/dL)

Potassium 3.3 mEq/L (3.5-5 mEq/L)