This is the second of two courses focused on adult health nursing of clients with commonly occurring disease states in acute care nursing. The course builds on previously learned knowledge of physical assessment and technical skills to focus on key components of acute care nursing. Special emphasis is placed on the etiology, clinical evaluation and use of evidence-based nursing interventions to manage specific health problems related to gastrointestinal, neurological, musculoskeletal systems and clients undergoing surgery. Complex client issues related to oncologic, immunologic and shock states are introduced. The advanced skills and interventions required to care for clients with commonly occurring disease states and those undergoing surgery are included.