The Nurse Is Performing a Physical Assessment on a Client

The nurse is performing a physical assessment on a client with undiagnosed back pain.The client is unable to communicate verbally.Which of the following vital sign values would indicate to the nurse that the client is in acute pain?

A) Temperature of 100.6 degrees:
B) Pulse rate 94
C) Respiratory rate 32
D) Blood pressure 158/92
E) Facial grimacing