I absolutely agree with Tim's suggestion about the relays. I think Summit Racing still sells complete harness kits for the headlights.
If it still has the stock leaf springs up front, they may be worn out. If so, it'll have a noticeable nose-down stance and the ride will be *real* harsh. On my '92 I got a Skyjacker 1" levelling spring kit and was pretty happy with it. The ride improved hugely.
It looks like you're in Nevada, so you probably don't encounter snow and ice much, but a Powr-lock limited slip might be good if you do any off-roading and don't want the harshness of a locker.
If it's a 3/4 ton truck, then you can improve the rear brakes a bit with 1" or 1 1/8" wheel cylinders and 3" wide shoes. That's basically upgrading to the same brakes as on the 1 ton duallies. You would have to either turn the drums or get new ones. Since it's a stick, you could also do an exhaust brake--that's one of the best things I think I've done to my truck.
If it hasn't already been done, bump up the injection timing and replace the stock muffler with any straight through design. Source Automotive is a good place to check for that.
Mike