Final answer:
Elevated temperature is the clinical manifestation that unlicensed personnel should report when monitoring a client with a white blood cell count differential that shows a shift to the left. This is indicative of an infection or inflammation following surgery such as exploratory laparotomy. Leukocytosis is an expected response in patients with severe burns, as it is part of the body's defense and healing process.
Step-by-step explanation:
The WBC differential with a shift to the left indicates an increase in the number of immature white blood cells in the bloodstream, which often suggests an infection or inflammation post-surgery, such as an exploratory laparotomy. Among the clinical manifestations that unlicensed personnel should report, elevated temperature often corresponds with infection and the body’s response to it. An increased heart rate often accompanies elevated temperature and is another sign of systemic stress that could be due to infection. A decreased respiratory rate or decreased blood pressure, although potentially serious, are not direct signs of a leukocyte response to infection.
A patient with a severe burn like the one involving their left upper extremity and shoulder would be expected to experience leukocytosis (an elevation in WBC count), as this is a typical response to the bodily stress inflicted by burns. The response involves the mobilization of defense mechanisms against potential infection and aids in the healing process.