Exhibits The charge nurse places a fall precautions sign on the client's door. Which side effects of morphine could contribute to this client's fall risk? Select all that apply

A. Orthostatic hypotension: Morphine can cause vasodilation and reduce blood pressure, especially when the client moves from lying to standing positions. This drop in blood pressure increases the risk of dizziness and falls, particularly in postoperative patients who may already be weakened. B. Sedation: Morphine’s central nervous system depressant effects can cause sedation and impaired alertness. Reduced cognitive and motor function from sedation significantly raises the client’s risk of falls by affecting balance and reaction time. C. Seizures: Seizures are not a common side effect of morphine. While morphine affects the central nervous system, it typically does not provoke seizure activity in most clients, so it is less relevant as a direct fall risk factor. D. Itching: Morphine commonly causes itching due to histamine release but this side effect does not directly increase fall risk. Itching may cause discomfort but is unlikely to impair balance or cognition. E. Nausea: Morphine-induced nausea can cause dizziness, weakness, and dehydration, which contribute indirectly to fall risk. Nausea may also reduce food and fluid intake, worsening the client’s overall stability. F. Urinary retention: Urinary retention can lead to urgency and frequent bathroom trips, increasing the likelihood of falls, especially if the client rushes or moves unassisted. Postoperative patients with retention are at higher risk of falls during toileting. G. Euphoria: Euphoria is a central nervous system effect of morphine but does not typically impair balance or motor control to a degree that increases fall risk. It may affect mood but is not directly linked to falls.