A nurse is caring for a client who has hyperparathyroidism. Based on this diagnosis, the nurse should monitor the client for which of the following complications?

A. Impaired skin integrity: Hyperparathyroidism does not primarily cause skin breakdown; skin changes are not a defining complication of elevated parathyroid hormone. B. Dysphagia: Swallowing problems are not a common manifestation of hyperparathyroidism; enlargement of the parathyroid glands rarely produces compressive symptoms. C. Fluid retention: Elevated parathyroid hormone and hypercalcemia more commonly lead to polyuria and dehydration rather than fluid retention. D. Pathologic fractures: Excess PTH causes increased bone resorption and loss of bone density, which raises the risk for spontaneous or pathologic fractures.