Final answer:
When taking alendronate, a client should be instructed to monitor for adverse effects such as esophageal irritation and muscle pain, which are among the more common side effects of this medication used to treat osteoporosis.
Step-by-step explanation:
A nurse should instruct a client who is taking alendronate, a medication commonly used to treat osteoporosis, to monitor for several adverse effects. The most important ones to consider include:
- Esophageal irritation: This is one of the most well-known side effects of alendronate. Patients are usually advised to take the medication with a full glass of water and to remain upright for at least 30 minutes afterward to reduce the risk of esophageal irritation.
- Muscle pain: Although less common than gastrointestinal side effects, musculoskeletal pain can occur in patients taking alendronate.
- Other effects like visual disturbances and hypertension are not typically associated with alendronate use.
Patients should report any side effects to their healthcare provider, especially if they experience difficulty or pain on swallowing, chest pain, new or worsening heartburn, or severe musculoskeletal pain.