A nurse is providing education to a client who is prescribed tramadol. Which of the following instructions should the nurse include to ensure client safety?

A. It is ok to take this medication while working since its side effects are not as pronounced as other opioids: Tramadol can cause dizziness, drowsiness, and impaired concentration, especially when starting therapy. Assuming it is safe to work without precautions may put the client at risk for accidents. B. If changing position causes you to feel lightheaded, standing up immediately will help stabilize your balance and prevent you from falling: Standing quickly when feeling lightheaded can increase the risk of falls. The correct approach is to rise slowly from sitting or lying positions to minimize orthostatic hypotension. C. Avoid driving and other activities that require mental alertness at the beginning of treatment: Tramadol can impair cognitive and motor skills, particularly during the initial stages of therapy. Advising the client to avoid driving or operating machinery ensures safety until they know how the medication affects them. D. This drug is very safe to take and has no associated side effects: All medications, including tramadol, have potential side effects such as nausea, dizziness, constipation, and risk of dependence. Saying it is completely safe is inaccurate and unsafe.