# A client with fever, cough, conjunctivitis, and a widespread rash is suspected of having measles. Which infection control action is appropriate?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394121&lang=en  
> language: en  
> subject: Standard/Transmission-Based Precautions/Surgical Asepsis  
> category: SIPC

## Question

A client with fever, cough, conjunctivitis, and a widespread rash is suspected of having measles. Which infection control action is appropriate?

## Option

1. Use contact precautions only and keep the door open.
2. Place the client in airborne precautions with appropriate respiratory protection. **✔ Correct answer**
3. Use standard precautions only because measles is spread by blood.
4. Assign the client to a room with an immunocompromised roommate.

**Correct answer: 2**

## Explanation

Measles requires airborne precautions because it spreads through airborne particles. The client should be placed in an appropriate room and staff should use respiratory protection according to policy. Cohorting with immunocompromised clients is unsafe.

## In-depth explanation

Clinical Judgment
Rash plus cough illnesses can be infection-control emergencies when airborne spread is possible.

Memory Tip
Measles: airborne.

## Clinical scenario

Clinical Practice Guide
Airborne precautions are used for infections that can remain suspended in air and require special ventilation and respirator protection.

Caution
Act quickly to protect other clients and staff.

## Key concepts

- **Measles** — A highly contagious viral illness with fever, cough, conjunctivitis, and rash.
- **Airborne Precautions** — Transmission-based precautions for organisms spread through airborne particles.
- **N95 Respirator** — A tight-fitting respirator used for selected airborne hazards.

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