HAPPY BOOKSGIVING
Use code BOOKSGIVING during checkout to save 40%-55% on books and eBooks. Shop now.
Register your product to gain access to bonus material or receive a coupon.
This PDF will be accessible from your Account page after purchase and requires PDF reading software, such as Acrobat® Reader®.
The eBook requires no passwords or activation to read. We customize your eBook by discreetly watermarking it with your name, making it uniquely yours.
This is the eBook version of the print title. The eBook edition does not provide access to the test engine that accompanies the print book.
“I highly recommend this book because it will be very useful for any candidate writing the MACE. It is comprehensive, practical, and follows the MACE test plan.”–Verine J. Parks-Doyle, RN, BSN, MSN, EdD.
Covers the critical information you’ll need to know to score higher on your MACE exam!
MACE is a registered trademark of the National Council of State Boards of Nursing, Inc. (NCSBN), which does not sponsor or endorse this product.
Introduction . . . . . 1
Notes. . . . . 1
NCSBN: Test Plan / Content Outline . . . 1
Sample Questions . . . . 3
Correct Answers . . . . 4
Sample Notes from VA: Pretest Items . . . 4
Sample Examination . . . . 5
Examination Content Outline and Reference Material . . 5
Content Outline. . . . 5
Applying for Registration and Examination . . . 9
Exam Cost . . . . 10
How to Use This Book . . . . 10
Contact the Authors . . . 11
Part I: Orientation and Basic Concepts
Chapter 1: What You Need to Know to Prepare for the Medication Aide Certification Examination (MACE) . . . . 13
Testing Strategies . . . . 14
Answering the Questions . . . 14
Self-Assessment . . . . 16
Exam-Prep Questions. . . . 17
Rationales . . . . 27
Part II: Authorized Duties
Chapter 2: The Roles and Responsibilities of the Medication Aide . . 31
Your Roles and Responsibilities. . . 32
Roles and Responsibilities of Other Nursing Team Members . 33
The Role of UAPs. . . . 33
Exclusions to the MA-C Role (Legal Limitations) . . 35
Accepting Delegated Duties . . . 35
Medication Administration Policies . . . 36
Medical Error Prevention . . . 37
Effective Communication Regarding Medication Administration. . 37
Verbal Communication. . . 38
Written Communication . . . 39
Specific Ethical and Legal Issues. . . 41
Residents’ Rights . . . . 42
Ethics. . . . 45
Exam-Prep Questions. . . . 47
Rationales . . . . 49
Part III: Medication Administration, Observation, and Reporting
Chapter 3: Pharmacology Review . . . . 51
Drug Classifications and Drug Names. . . 52
Drug Actions and Implications . . . 53
Drug Metabolism . . . . 54
Factors Influencing Drug Effectiveness . . . 54
Drug Interactions . . . . 55
Drug Side Effects . . . . 55
Selected Drug Information Sources . . . 57
Exam-Prep Questions. . . . 58
Rationales . . . . 60
Chapter 4: Drug Orders, Forms, Measurements, and Handling . . . 61
Drug Orders. . . . 62
Common Medical Terminology, Dosages, and Abbreviations . . 63
Drug Labels . . . . 65
Drug Packaging . . . . 66
Drug Storage and Disposal . . . . 66
Drug Measurements . . . . 67
Drug Forms . . . . 68
Solids and Semisolids . . . . 68
Liquids and Semiliquids . . . 69
Routes of Drug Administration. . . 70
Exam-Prep Questions. . . . 73
Rationales . . . . 75
Part IV: Administering Medications
Chapter 5: Administering Medication Safely. . . . 77
Introduction . . . . 78
Set Up for Medication Administration. . . 78
Safety Checks When Administering Medications. . 82
The Six Rights of Medication Administration . . 83
Causes and Reporting of Medication Errors . . 87
Exam-Prep Questions. . . . 89
Rationales . . . . 91
Chapter 6: Medication Administration Procedures and Techniques . . 93
Pre-Administration Procedures. . . 94
Identifying Client . . . . 94
Hand Washing . . . . 94
Gloving . . . . 95
Explaining the Medication Procedure . . . 95
Positioning the Client . . . 95
Giving Medications Through Various Routes . . . 96
Oral . . . . 96
Nasal Instillation . . . . 101
Inhalation . . . . 102
Opthalmic/Ocular (Eye) . . . 102
Otic (Ear) . . . . 104
Topical. . . . 104
Vaginal. . . . 106
Rectal. . . . 107
Special Medication Administration Techniques . . 108
Aged Clients. . . . 108
Clients with Physical Limitations . . . 109
Clients Refusing to Take Medications . . . 110
Noncommunicative Clients . . . 111
Post-Administration Procedures . . . 112
Client Comfort . . . . 112
Client Environment . . . . 112
Right Documentation . . . 113
Exam-Prep Questions. . . . 114
Rationales . . . . 116
Part V: Medication Effects on Body Systems: Implications for Care
Chapter 7: Medications Affecting the Cardiovascular System . . . 117
Cardiovascular Structure and Function . . . 119
Introduction to Cardiovascular Disorders . . . 122
Drugs Used to Treat Hyperlipidemia. . . 123
Drugs Used to Treat Hypertension . . . 124
Drugs Used for Angina. . . 128
Drugs Used for Arrhythmias . . . 131
Drugs Used for Congestive Heart Failure. . 133
Other Cardiovascular Medications . . . 134
Exam-Prep Questions. . . . 139
Rationales . . . . 141
Chapter 8: Medications Affecting the Respiratory System. . . 143
Structure and Function of the Respiratory System . . 144
The Upper Respiratory Tract . . . 150
Lower Respiratory Tract . . . 152
Exam-Prep Questions. . . . 155
Rationales . . . . 156
Chapter 9: Medications Affecting the Digestive System . . . 157
Structure and Function of the Digestive System . . 158
Disorders of the Gastrointestinal Tract . . . 158
Antacids . . . . 160
Histamine-2 Antagonists . . . 161
Prostaglandins . . . . 163
Proton Pump Inhibitors . . . 163
MACE Exam Cram: Medication Aide Certification Exam
Antispasmodics. . . . 165
Antiemetics. . . . 166
Antidiarrheals. . . . 167
Laxatives . . . . 168
Exam-Prep Questions. . . . 171
Rationales . . . . 173
Chapter 10: Antibiotics and Other Anti-Infective Agents . . . 175
The Infection Process. . . . 176
Common Infections . . . . 180
Antibiotics and Other Anti-Infective Agents. . . 183
Exam-Prep Questions. . . . 190
Rationales . . . . 192
Chapter 11: Medications Affecting the Urinary System . . . 193
Urinary Structure and Function . . . 194
Disorders of the Urinary System . . . 195
Urinary Tract Infections. . . 195
Dysuria . . . . 201
Overactive Bladder (OAB) . . . 202
Urinary Retention . . . . 203
Exam-Prep Questions. . . . 205
Rationales . . . . 207
Chapter 12: Medications Affecting the Musculoskeletal System. . . 209
Structure and Function of the Musculoskeletal System. . 210
Disorders of the Musculoskeletal System . . . 213
Muscle Spasms . . . . 213
Muscle Spasticity . . . . 213
Osteoporosis. . . . 215
Gout . . . . 215
Exam-Prep Questions. . . . 220
Rationales . . . . 222
Chapter 13: Medications Affecting the Central Nervous System . . . 223
Structure and Function of the Nervous System . . 224
The Central Nervous System . . . 224
The Peripheral Nervous System . . . 225
Drugs That Affect the Autonomic Nervous System . . 226
Adrenergic Agents . . . . 227
Alpha- and Beta-Adrenergic Blocking Agents. . 228
Cholinergic Agents . . . . 230
Anticholinergic Agents . . . 231
Sedative-Hypnotic Drugs. . . 232
Benzodiazepines . . . . 233
Non-Barbiturate, Non-Benzodiazepine Sedative-Hypnotic Agents . 234
Analgesics . . . . 235
Drugs Used for Alzheimer’s Disease. . . 244
Drugs Used for Parkinson’s Disease . . . 245
Exam-Prep Questions . . . . 248
Rationales . . . . 250
Chapter 14: Medications Affecting the Endocrine System . . . 251
Structure and Function of the Endocrine System . . 252
Medications Used to Treat Endocrine Disorders . . 252
Exam-Prep Questions. . . . 259
Rationales . . . . 261
Chapter 15: Medications for the Eye and Ear . . . . 263
The Eye . . . . 264
Structure and Function of the Eye . . . 264
Disorders of the Eye . . . . 265
The Ear. . . . . 268
Structure and Function. . . 268
Disorders of the Ear . . . . 269
Exam-Prep Questions. . . . 271
Rationales . . . . 273
Chapter 16: Medications Used in the Treatment of Cancer . . . 275
Introduction to Cancer. . . . 276
Drug Therapy for Cancer . . . 278
Antineoplastic Antibiotics. . . 282
Exam-Prep Questions. . . . 284
Rationale. . . . 286
Chapter 17: Medications Used to Treat Mental Health Disorders . . . 287
The Nervous System and Emotions. . . 288
Common Mental Health Disorders . . . 288
Exam-Prep Questions. . . . 297
Rationales . . . . 299
Part VI: Practice Exams
Practice Exam I . . . . 301
Practice Exam I Rationales . . . . 311
Practice Exam II . . . . 317
Practice Exam II Rationales. . . . 327
Part VII: Appendixes
Appendix A: Medication Administration Skills Performance Checklist . . 333
Appendix B: Arithmetic Review: Weights and Measures . . . 337
Appendix C: Herbals, Vitamins, and Minerals. . . . 341
Appendix D: To Err is Human: Building a Safer Health System . . . 343
Glossary. . . . . 351
TOC, 9780789749604, 1/2/13