As mentioned earlier by a few folks verifying that the carb is tuned right for where you live is important but it very much sounds like you have a lack of gear ratio problem.
If you do have a super low numerically gear like 2.73 or 3.08 in conjunction with a 34” tall tire then there’s your smoking gun.
Those gear ratios were gutless with the 29” tall tires that were standard equipment and a 34” tall tire is pure torture.
If your truck still has its original axles and gears it would have come with any of the following gear ratios 2.73 ( these were standard ), optional 3.08 and 3.73 ( optional only with a towing package ).
Even if you have 3.73’s those gears combined with that tall of a tire and any engine from the eighties emissions era is going to result in beyond poor performance expectations.
Here’s a pic out of a sales brochure for an 1982 model K5 or K10 with a gas motor that shows you what was available.
Getting your carb healthy is always a good idea but chances are you are way under geared for the tire size that you are running.
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