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

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397455&lang=en  
> language: en  
> subject: Incident Reporting  
> category: SIPC

## Question

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

## Option

1. Place the client in a protective positive-pressure room.
2. Use contact precautions alone until the rash resolves.
3. Place the client in an airborne infection isolation room. **✔ Correct answer**
4. Keep the client in the waiting area with just a surgical mask.

**Correct answer: 3**

## Explanation

Suspected measles requires airborne precautions and placement in an airborne infection isolation room when available. A mask alone in a waiting area is not sufficient for source control and exposure reduction. Protective positive-pressure rooms are used for selected immunocompromised clients, not airborne isolation.

## 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

- **Measles** — A highly contagious viral illness that can spread through airborne particles.
- **Airborne Precautions** — Transmission-based precautions used for infections spread by small airborne particles.
- **Airborne Infection Isolation Room** — A room designed to reduce airborne transmission, often with negative pressure.

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