Measles Hospital Precautions: Airborne Isolation Guidelines MCQ: –

Paediatric MCQ Question :
A child with rubeola (measles) is being admitted to the hospital. In preparing for the admission of the child, the nurse should plan to place the child on which precautions?
A. Enteric
B. Airborne
C. Protective
D. Neutropenic
Show Answer
Answer is: B. Airborne ✔
Rationale/Explanation:
Rationale:
Rubeola (measles) is a highly contagious viral infection that spreads through airborne transmission, meaning the virus can remain suspended in the air and be inhaled by others. Because of this, the child should be placed on airborne precautions, which include:
- Isolation in a negative-pressure room (to prevent airborne particles from spreading).
- Wearing an N95 respirator mask for healthcare providers and visitors.
- Limiting patient movement outside the room and ensuring the child wears a surgical mask if transport is necessary.
Why Not the Other Options?
❌ A. Enteric Precautions – Used for infections spread through fecal-oral transmission, such as Clostridium difficile or norovirus. Measles is not transmitted this way.
❌ C. Protective Precautions – Designed to protect immunocompromised patients (e.g., those undergoing chemotherapy or organ transplants) from infections. Measles patients require isolation for others’ protection, not their own.
❌ D. Neutropenic Precautions – Used for patients with low neutrophil counts (e.g., cancer patients on chemotherapy), making them highly susceptible to infections. Measles is not a condition that requires neutropenic precautions.
Key Takeaway:
Always implement airborne precautions for rubeola (measles) due to its high transmissibility through tiny respiratory droplets that can linger in the air for hours.
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