A client who had orthopedic surgery 3 days ago complains of difficulty sleeping. Which initial intervention is best for the practical nurse (PN) to implement?

A. Administer a PRN prescription for pain: While postoperative pain can interfere with sleep, pain medication should be given only after assessing and addressing comfort measures. Nonpharmacologic interventions should be attempted first unless the client reports significant pain. B. Reposition the client and provide a back rub: Repositioning promotes comfort and improves circulation, while a back rub helps the client relax and may relieve mild muscle tension. These nonpharmacologic measures are safe, promote rest, and are appropriate as an initial nursing intervention for sleep difficulty. C. Offer the client a prescribed sleep medication: Sedative or hypnotic medications may be necessary for persistent insomnia, but they should not be the first intervention. The nurse should attempt comfort measures before administering pharmacologic sleep aids. D. Provide a cup of hot chocolate at bedtime: Hot chocolate contains caffeine, which can stimulate the nervous system and interfere with sleep. Offering warm milk or herbal tea would be a better bedtime option, but comfort measures should be prioritized first.