A nurse in a provider's office is collecting data from an older adult client. The client states that he is having difficulty sleeping. Which of the following strategies should the nurse recommend to promote sleep?

A. A temperature of 37.5° C (99.5° F) is slightly elevated but can be expected postoperatively and does not typically require immediate intervention.
B. The client being difficult to arouse is concerning following opioid administration, as it may indicate over-sedation or the onset of respiratory depression. This requires immediate nursing action.
C. A respiratory rate of 10/min is low and can be a sign of opioid-induced respiratory depression, especially when combined with difficulty arousing the client. This is a critical value that
necessitates prompt nursing assessment and intervention.

D. Pulse oximetry of 88% on room air is below the normal range and indicates hypoxemia. This is a serious finding that requires immediate action to improve the client's oxygenation.

E. Pupils that are 3 mm, equal, and reactive to light, along with a blood pressure of 99/46 mm Hg, while on the lower side, are not as immediately concerning as the respiratory rate and level of consciousness.
F. A heart rate of 61/min is within normal limits and does not typically require intervention unless there are other signs of hemodynamic instability.

A. Bowling: While bowling involves some physical activity, it may not provide sufficient weight-bearing exercise needed to strengthen bones.
B. Walking: Walking is a weight-bearing exercise that helps improve bone density, making it an ideal recommendation for someone at risk for osteoporosis.
C. Passive range-of-motion exercise: While beneficial for maintaining joint flexibility,

passive range-of-motion exercise does not provide the same bone-strengthening benefits as weight-bearing exercises like walking.
D. Jogging: Jogging is higher-impact and may not be suitable for all older adults, especially those at risk for osteoporosis, due to the risk of injury.