# A child in the emergency department has fever, cough, conjunctivitis, and a widespread rash. Measles is suspected. Which isolation action should the nurse implement?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397153&lang=en  
> language: en  
> subject: Standard/Transmission-Based Precautions/Surgical Asepsis  
> category: SIPC

## Question

A child in the emergency department has fever, cough, conjunctivitis, and a widespread rash. Measles is suspected. Which isolation action should the nurse implement?

## Option

1. Place the child in an airborne infection isolation room. **✔ Correct answer**
2. Use contact precautions until the rash resolves.
3. Assign the child to a room with another child who has a rash.
4. Use a surgical mask when giving medications.

**Correct answer: 1**

## Explanation

Suspected measles requires airborne precautions and placement in an airborne infection isolation room when available. Contact precautions alone are insufficient. Cohorting with another child who has an undiagnosed rash can expose both clients to additional infection risks.

## In-depth explanation

Clinical Judgment
Use the client cues, timing, labs, and safety risks to select the response that best fits Suspected measles isolation.

Memory Tip
Match the strongest cue cluster to the safest nursing judgment.

KR vs US
NCLEX items reward cue-based priority thinking rather than isolated recall.

## Clinical scenario

Clinical Practice Guide
For Suspected measles isolation, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

## Key concepts

- **Airborne Precautions** — Precautions used for pathogens that remain infectious in small airborne particles.
- **Measles** — A highly contagious viral illness spread through airborne transmission.
- **Airborne Infection Isolation Room** — A room designed to reduce airborne pathogen spread, often with negative pressure.

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