First, multiply each side of the inequality by #color(red)(4)# to eliminate the fraction while keeping the inequality balanced:
#color(red)(4) xx 22 >= color(red)(4) xx (x + 91)/4#
#88 >= cancel(color(red)(4)) xx (x + 91)/color(red)(cancel(color(black)(4)))#
#88 >= x + 91#
Now, subtract #color(red)(91)# from each side of the inequality to solve for #x# while keeping the inequality balanced:
#88 - color(red)(91) >= x + 91 - color(red)(91)#
#-3 >= x + 0#
#-3 >= x#
To state the solution in terms of #x# we can reverse or "flip" the entire inequality:
#x <= -3#