What should a nurse monitor in a patient taking alendronate?

Monitoring calcium levels in a patient taking alendronate is crucial because alendronate is a bisphosphonate used primarily to treat osteoporosis and other conditions that lead to bone loss. This medication works by inhibiting bone resorption, leading to improved bone density. Since it can affect calcium metabolism, especially in the early stages of treatment, ensuring that calcium levels remain within an appropriate range is vital to prevent complications such as hypocalcemia.

Patients on alendronate may also have increased risk factors related to calcium levels due to changes in bone turnover. Ensuring adequate calcium intake and monitoring serum calcium levels help manage potential side effects and ensure the efficacy of the treatment. In contrast, while monitoring of hemoglobin, liver function, and electrolyte profile can be important in other contexts, they are not directly associated with the primary effects and concerns of alendronate therapy.