A nurse is caring for a client who reports a pain level of 8 on a 0 to 10 scale. The nurse should anticipate which additional assessment finding?

Choice A reason: A heart rate of 70 beats per minute is within normal range and does not reflect the sympathetic nervous system activation expected with severe pain. Pain typically increases heart rate. Choice B reason: A respiratory rate of 12 breaths per minute is normal and does not reflect the increased respiratory effort or rate often associated with pain. Severe pain usually elevates respiratory rate. Choice C reason: A temperature of 100.2°F indicates a mild fever but is not directly related to acute pain. Pain itself does not cause fever unless associated with infection. Choice D reason: Elevated blood pressure is a common physiological response to severe pain due to sympathetic nervous system activation. Pain stimulates catecholamine release, leading to vasoconstriction and increased blood pressure.