Discuss reflection Describe how you achieved each course competency including at least one example 1 select appropriate nursing interventions for clients experiencing disorders that affect cell growth and replication 2 identify disorders that influence fluid and electrolyte balancer 3 differentiate factors that affect acid-based Balance 4 Explain care for clients with upper gastrointestinal diseases and disorders., 5 explain care for clients lower gastrointestinal disorders 6 describe nursing care for the client with endocrine

In my spare time, I would often watch trainer's films that delved into further depth on a certain issue.
The textbook was also useful for researching any things that didn't make sense or were confusing to me.
In the course of clinicals, we would sometimes inquire of the teacher for further information on what was required and how to do the task at hand.
4. I also utilized internet resources to assist me.

1)

- Acquire a thorough medical history of the client.
- Educate the patient on how their disease affects their body and what they can expect during the treatment process.
- Ask questions to determine symptoms of possible complications or that may occur due to treatments.
- Determine if any medications, restrictions, or behavioral lifestyle changes are needed before nursing interventions can be performed.
- Discuss diet and activity modifications as necessary with the patient and family members/caregivers (if applicable).

2) Diseases such as diabetes and high blood pressure, as well as inflammation and a variety of hereditary disorders, are examples of this. The kidneys are responsible for the development of a variety of conditions including mineral deficiency or overload, electrolyte imbalances such as sodium and potassium, dehydration, and fluid retention.

3) A balanced diet is recommended for all as it ensures a healthy blood pH level and well-being. 
Water is another essential nutrient found in every cell of the body to help maintain the optimal acid-base balance in the body. 
The emotional state can impact your health as well since our emotions often cause stress which affects our heart's ability to pump blood to our cells. 
Physical activity is good for the heart (aerobic exercise) or bad for overall health if you are sedentary (inactivity). Some types of exercise like weight lifting can also influence a person's acid-base balance.

Sleep has an important role in the regulation of acid-base balance since the body's repair and rejuvenation processes occur during a person's sleep cycle. Sleep is more important to the body than most people realize. Therefore, adequate time for sleeping (7-8 hours) is important for good health.
The delicate chemical balance of hemoglobin that transports oxygen to cells can be upset by many conditions. The primary substances used to buffer this delicate condition are acids and bases found within foods, drinks or pills. 

5)  Assess and monitor the patient's risk for gastroesophageal reflux disease. 
- Administer medications as ordered, such as proton pump inhibitors to decrease gastric acid. 
- Monitor for abdominal distention and bowel sounds. 
- Feedings may be started orally or by using enteral feeding tubes if there is ileus or intestinal obstruction. 
- Monitor nutritional status in these patients with disorders such as Crohn's disease, ulcerative colitis, and celiac disease.

6)

 Oral preparations should be administered with food, milk, or an antacid.

2. Keep track of your weight, blood pressure, and electrolytes in your blood.

3. Check for signs of gastrointestinal bleeding.

4. People with diabetes should have their blood glucose levels checked on a regular basis.

5. Inform the customer of the need to

• Prevent exposure to infections; tell your health-care provider if you develop a fever or sore throat; and refrain from receiving vaccinations while on treatment.

b. Limit the use of salt and promote the consumption of potassium-rich foods.

c. Only take drugs as prescribed, and explain why you are doing so; avoid missing, modifying, or discontinuing medication abruptly.

Do not use nonsteroidal antiinflammatory pharmaceuticals (NSAIDs) or over-the-counter (OTC) treatments, and do not take aspirin.

g. Always have a medical alert card on you.

6. Reduce or discontinue medication treatment gradually to allow for adrenal recovery.