Which statement would warrant immediate concern from a nurse caring for a patient with diagnosed appendicitis awaiting surgery?

The patient states, “I think I’m getting better, my pain is all gone now!”

The patient states, “The pain is worse when I move, I can’t get up and go for a walk.”

The patient is stating he is having 7/10 pain in his right lower quadrant

The patient is nauseous and has vomited twice in the past three hours