The client receives alendronate (Fosamax) as treatment for osteoporosis. Which symptoms, caused by ...

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Rationale 1: Ringing of the ears is not associated with alendronate (Fosamax).
Rationale 2: Hot and dry skin is not an adverse effect of alendronate (Fosamax).
Rationale 3: Vision changes and photophobia are not adverse effects of alendronate (Fosamax).
Rationale 4: Muscle spasms and facial twitching indicate a low calcium level, which can be caused by alendronate (Fosamax), and should be reported immediately before the client has seizures.
Global Rationale: Muscle spasms and facial twitching indicate a low calcium level, which can be caused by alendronate (Fosamax), and should be reported immediately before the client has seizures. Ringing of the ears and hot, dry skin are not associated with alendronate (Fosamax). Vision changes and photophobia are not adverse effects of alendronate (Fosamax).