Final answer:
The nurse should recognize nausea and vomiting as common adverse effects of alendronate, which is often prescribed for the treatment of osteoporosis.
Step-by-step explanation:
The nurse should recognize that nausea and vomiting, along with other gastrointestinal issues like indigestion, heartburn, stomach pain, and constipation, are common adverse effects of alendronate, a medication used in the treatment of osteoporosis. It is important for the nurse to monitor the client for these side effects and to provide appropriate interventions if they occur. In addition to gastrointestinal symptoms, alendronate can cause other side effects such as headache, muscle pain, and, in rare cases, more serious conditions like osteonecrosis of the jaw. Patients are advised to follow specific instructions when taking alendronate, such as taking it with a full glass of water and remaining upright for at least 30 minutes afterward to minimize side effects.