Describe how you achieved each course competency including at least one example of new knowledge gained related to that competency. Describe how this new knowledge will impact your nursing practice. Course Competencies Explain principles of care for clients with oncological disorders. Identify components of safe and effective nursing care for clients experiencing fluid and electrolyte imbalances. Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances. Select appropriate nursing interventions for clients with upper gastrointestinal disorders. Select appropriate nursing interventions for clients with lower gastrointestinal disorders. Evaluate responses to nursing interventions for clients with endocrine disorders.