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?

It is ok to take this medication while working since its side effects are not as pronounced as other opioids

If changing position causes you to feel lightheaded, standing up immediately will help stabilize your balance and prevent you from falling.

Avoid driving and other activities that require mental alertness at the beginning of treatment.

This drug is very safe to take and has no associated side effects.