A nurse is reviewing the medication administration record for a client who is 2 days postoperative following abdominal surgery. The nurse should recognize which of the following medications places the client at risk for wound dehiscence.

Choice A rationale:
One large tomato does not have a high calcium content. Tomatoes are generally not considered a significant source of calcium.
Choice B rationale:
Green grapes are not a significant source of calcium. They are primarily composed of water and carbohydrates.
Choice C rationale:
A medium banana also does not provide a substantial amount of calcium. Bananas are known for their potassium content more than calcium.
Choice D rationale:
1 cup of broccoli is a good source of calcium. While dairy products are often considered the primary source of dietary calcium, broccoli is a non-dairy option that contains a decent amount of calcium along with other nutrients beneficial for bone health.

Choice A rationale:
Hyperventilation, or rapid breathing, is a potential manifestation of hyperglycemia in clients with diabetes mellitus. As blood glucose levels rise, the body attempts to eliminate excess glucose through increased urination. This can lead to dehydration and electrolyte imbalances, potentially resulting in hyperventilation as the body tries to compensate for acidosis. The increased respiratory rate is an attempt to expel carbon dioxide and normalize pH levels. Teaching the client about the connection between hyperglycemia and hyperventilation is crucial, as recognizing this symptom can prompt early intervention.
Choice B rationale:
Cool skin is not a typical manifestation of hyperglycemia. Hyperglycemia usually leads to increased blood flow and warm skin due to the vasodilatory effects of high glucose levels. Cool skin might be more indicative of poor peripheral circulation, but it's not directly related to hyperglycemia.
Choice C rationale:
Metallic taste is not a recognized manifestation of hyperglycemia. Hyperglycemia primarily affects the body's glucose metabolism and can lead to symptoms like increased thirst, frequent urination, and fatigue. Metallic taste is not directly linked to hyperglycemia and might be related to other factors.
Choice D rationale:
Anxiety can be a psychological response to the stress of a new diabetes diagnosis, but it is not a specific manifestation of hyperglycemia. Hyperglycemia-related symptoms are more physiological and metabolic in nature, involving glucose regulation and acid-base balance.