The nurse is providing education to a patient who is to be discharged home on alendronate (Fosamax). Which complication should the patient be instructed to report immediately?
a. Drowsiness
b. Pallor
c. Dizziness
d. Difficulty swallowing
ANS: D
Esophagitis is the most serious adverse effect of alendronate, sometimes resulting in ulceration. The nurse should instruct the patient immediately to report difficulty swallowing, which can be a sign of esophageal injury.
Drowsiness is not a symptom associated with alendronate.
Pallor is not a symptom associated with alendronate.
Dizziness is not an adverse effect of alendronate.
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