It means you already have 3.7 ratio diff, with 4.1 diff we are already a touch above 3000rpm at 70mph.
80mph should be ~3500rpm on mine (with 7.50R16 tires) but it's doing fine. Noisy but engine is fine at this speed, it's a L6 it needs to run from time to time.
But anyway, no tachometer + ear plugs = no worries
Obviously if it's your daily and doing a lot of miles every year it may be a different story. Wouldn't say no to a 5-speed if it was an easy swap and keeping the originality of the truck (but it's not on a 1974).