A patient who engages in high-risk sexual behavior is urged to have total knee replacement surgery. What actions should the patient consider prior to scheduling this surgery?

Select all that apply.

1. Delay the surgery for 1 year
2. Schedule the surgery immediately
3. Begin medication therapy for HIV
4. Consider autologous transfusions for the surgery
5. Have testing for HIV in 6 months


Correct Answer: 4, 5

Patients in the window period between contraction of the virus and the development of detectable antibodies are able to transmit the virus to others. This window period usually lasts from 6 weeks to 6 months. The patient should be tested in 6 months. When possible, patients should be encouraged to use autologous transfusion, donating their own blood prior to an anticipated surgery. The surgery should not be scheduled until the patient's HIV status is determined. Rarely does it take 1 year to determine if a patient is HIV positive. There is no evidence to support the implementation of HIV medication therapy.

Nursing

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