A woman arrives at the clinic for a routine appointment. She has been HIV positive for 3 years and states she is doing well. She currently is involved in a relationship with a man who is HIV positive
She states that she is not consistent with safe sex practices due to her significant other's preferences and feels uncomfortable asking him to wear a condom. Which is the nurse's best response to promote the client's health?
A) "You won't become pregnant as long as you are taking your drug cocktail."
B) "You will not be protected against other strains of HIV or sexually transmitted infections (STIs)."
C) "You will both be safe because you both already have HIV."
D) "Let's have you both tested for STIs."
Ans: B
Feedback:
Although both the woman and her partner are already HIV positive, they can still transmit different strains of HIV to each other, as well as other STIs and can then go on to infect others. Thus, they are not "safe" and the woman should be encouraged to advocate for herself by insisting that her partner wear a condom. The client's drug cocktail will not prevent her from becoming pregnant from unprotected sex. Testing for STIs for the woman and her partner may be appropriate, but not until the client is made to understand the importance of protected sex.
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