# The infection-prevention nurse audits care for a client with suspected measles. Which actions require follow-up? Highlight the actions that can increase airborne transmission.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=497293&lang=en  
> language: en  
> subject: Standard/Transmission-Based Precautions/Surgical Asepsis  
> category: SIPC

## Question

The infection-prevention nurse audits care for a client with suspected measles. Which actions require follow-up? Highlight the actions that can increase airborne transmission.

| Care event | Observed infection-control practice |
| --- | --- |
| Room placement | Client placed in a positive-pressure protective environment room |
| Staff entry | Susceptible staff member enters without respiratory protection |
| Respirator | Trained staff perform a seal check before entering |
| Transport | Client travels to imaging without wearing a procedure mask |
| Communication | Receiving department is notified before necessary transport |
| Equipment | Dedicated assessment equipment remains inside the client room |
| Transport | Nonurgent hallway transport is postponed until clinically needed |
| Room entry | Airborne isolation signage is posted at the entrance |
| Environment | Isolation-room door remains propped open during routine care |

## Explanation

Using a positive-pressure room, allowing unprotected susceptible staff entry, transporting without a client mask, and leaving the door open require follow-up. Suspected measles needs airborne isolation and exposure control.

## In-depth explanation

Quick answer
Highlight placement in positive pressure, entry by susceptible staff without respiratory protection, transport without a client mask, and an open isolation-room door. Each action can spread airborne virus or expose a worker.

Why this is correct
CDC recommends airborne precautions for measles, including an airborne infection isolation room when available and respiratory protection for personnel. Transport should be limited, with the client masked and source control maintained.[2]

Easy analogy or mental picture
Picture smoke that can drift beyond one bedside. Negative pressure and a closed door help contain the air, while respiratory protection filters what staff breathe; the smoke picture explains movement, not the full biology of infection.

Memory hook
Contain the air, protect the worker, mask for transport.

NCLEX decision rule
When a rash illness suggests measles, think airborne containment; check room pressure, door position, staff immunity and respirator use, and client source control before movement.

Why the other choices are wrong
A fit-checked respirator, limited transport, advance notice to the receiving department, and dedicated equipment support the plan. Routine gloves alone are not the defining protection against an airborne route.References

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]CDC: Appendix A for Isolation PrecautionsCenters for Disease Control and Prevention

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