A nurse is performing a cardiac assessment on a client and auscultates an S3 sound. The nurse should recognize that this sound represents which of the following heart conditions?

Swallowing the capsules whole is the correct way to take nitroglycerin oral, sustained-release capsules, as they are designed to release the medication slowly and steadily over time. The client should not crush, chew, or open the capsules, as this can alter the absorption and effectiveness of the medication.

Taking 1 capsule at the onset of anginal pain is not appropriate, as nitroglycerin oral, sustained-release capsules are not meant for acute episodes of angina, but for long-term prevention and management. The client should use a fast-acting form of nitroglycerin, such as sublingual tablets or spray, to relieve anginal pain.

Taking the medication with meals is not necessary, as nitroglycerin oral, sustained-release capsules can be taken with or without food. However, the client should take the medication at regular intervals and around the same time each day.

Stopping taking the medication if side effects are troublesome is not advisable, as nitroglycerin oral, sustained-release capsules can cause withdrawal symptoms and rebound angina if discontinued abruptly. The client should consult with the provider before stopping or changing the dose of the medication. The client should also report any severe or persistent side effects, such as headache, dizziness, hypotension, or tachycardia.

Planning to lower saturated fats to 10 percent of the daily calorie intake is a good dietary recommendation for a client who has hypertension, as it can help lower cholesterol, prevent atherosclerosis, and reduce the risk of cardiovascular complications.

a. "Limit your alcohol consumption to three drinks a day." is not correct, as it is too high for a client who has hypertension. The client should limit alcohol consumption to no more than one drink a day for women and two drinks a day for men, as alcohol can increase blood pressure and interfere with medication effectiveness.

c. "Diuretics are the first type of medication to control hypertension." is not accurate, as diuretics are not always the first choice of medication for hypertension. The choice of medication depends on the client's individual factors, such as age, race, comorbidities, and contraindications. Diuretics are one of the classes of antihypertensive drugs that can be used alone or in combination with other drugs.

d. "Reaching your goal blood pressure will occur within 2 months." is not realistic, as reaching the goal blood pressure may take longer than 2 months, depending on the client's baseline blood pressure, response to treatment, adherence to lifestyle modifications, and presence of other conditions. The client should monitor his blood pressure regularly and follow up with the provider as needed.