Final answer:
When a 74-year-old client is experiencing sleeping difficulties, the nurse should ask what the client does just before going to bed. This will help identify potential factors that may be interfering with sleep.
Step-by-step explanation:
When a 74-year-old client is experiencing sleeping difficulties, the nurse should respond by asking what the client does just before going to bed. This question helps to identify potential behaviors or activities that may be interfering with the client's ability to fall asleep. The nurse could also inquire about the client's bedtime routine, including whether they consume a small snack before bed, as eating too close to bedtime can disrupt sleep. By gathering this information, the nurse can better understand the client's problem and provide appropriate guidance for improving sleep patterns.