A nurse is assessing a 45-year-old client who reports sudden…

A nurse is assessing a 45-year-old client who reports sudden onset abdominal pain rated 7/10 on a numeric pain scale. The client is lying still in bed, appears tense, and is guarding the abdomen. Vital signs are: Blood pressure: 158/92 mmHg Heart rate: 112/min Respiratory rate: 26/min Temperature: 98.6°F (37°C)What charting below would indicate that the patient is in pain as per the vitals listed above?