A female client is taking alendronate, a bisphosphonate, for postmenopausal osteoporosis. The client tells the nurse that she is experiencing jaw pain. How should the nurse respond?

A. Jaw pain is not a common symptom of osteoporosis. B. While it is important to ensure proper administration of the medication, jaw pain is a serious side effect that requires immediate attention. C. Gargling with warm salt water may alleviate minor oral discomfort but is not appropriate for managing jaw pain related to bisphosphonate use. D. Jaw pain is a potential sign of osteonecrosis of the jaw, a serious side effect of bisphosphonates, and should be reported to the healthcare provider immediately.