Answer :
The nurse should plan to take the following actions when admitting a client with rubella:
1. **Wear a surgical mask when within 0.9 m (3 feet) of the client:**
- Rubella is a contagious viral infection spread through respiratory droplets. Wearing a surgical mask can help prevent the spread of the virus to the nurse and others in close proximity to the client.
2. **Place the client in a room with negative-airflow pressure:**
- Negative-airflow pressure rooms help contain airborne contaminants within the room, reducing the risk of exposure to others in the healthcare facility. This isolation measure is crucial to prevent the spread of rubella to other patients and staff.
3. **Instruct the client's loved ones that the client should not have fresh flowers in their room:**
- Fresh flowers can carry pollen and potentially harbor bacteria or fungi that may pose a risk of infection to the client, especially when their immune system is compromised due to rubella.
4. **Instruct the client that visitors will not be allowed while they are in isolation:**
- Isolating the client minimizes the risk of transmitting rubella to others. Restricting visitors helps prevent further spread of the virus and protects the health of both visitors and other patients in the healthcare facility.
By following these actions, the nurse can effectively manage the care of a client with rubella while minimizing the risk of transmission to others.