The nurse is educating a client on hyperparathyroidism. Which of the following statements would require further teaching?

Choice A reason: Increasing fiber binds dietary calcium, reducing absorption in hyperparathyroidism, aiding excretion, so this statement aligns with proper management.

Choice B reason: Furosemide enhances calcium excretion via urine, countering hyperparathyroidism’s high levels, making this an accurate understanding of treatment intent.

Choice C reason: Parathyroidectomy removes overactive glands, correcting calcium overproduction in hyperparathyroidism, a correct expectation reflecting disease management.

Choice D reason: Fluid restriction (1,000 mL) concentrates calcium, worsening hypercalcemia in hyperparathyroidism; increased fluids dilute it, so this needs correction.

Choice A reason: Emphysema destroys alveoli, causing air trapping and dyspnea, but doesn’t involve excessive mucus production, focusing on structural loss, not glandular activity.

Choice B reason: Peripheral vascular disease impairs arterial flow, causing ischemia and pain, not affecting airways or mucus glands, unrelated to respiratory secretions.

Choice C reason: Heart failure leads to fluid in alveoli (edema), causing crackles, but not excessive mucus, as it’s a circulatory, not inflammatory airway issue.

Choice D reason: Bronchitis inflames bronchial tubes, overactivating goblet cells to produce excess mucus, leading to productive cough, a hallmark of this condition.