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“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