A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications?

A. Impaired skin integrity: Hyperparathyroidism does not directly affect skin integrity. The condition primarily affects bone metabolism and calcium levels, so impaired skin integrity is not a typical complication. B. Pathologic fractures: Hyperparathyroidism causes increased calcium release from the bones, leading to bone demineralization and an increased risk of fractures, particularly pathologic fractures, which occur with minimal trauma. C. Fluid retention: Hyperparathyroidism typically does not cause fluid retention. The condition primarily affects calcium and bone metabolism, and fluid balance is not a common concern. D. Dysphagia: Dysphagia (difficulty swallowing) is not a typical complication of hyperparathyroidism. The condition affects calcium metabolism and bone health rather than the ability to swallow.