A client who is newly diagnosed with HIV asks the nurse if there are ways to protect the client's partner. Which of the client's statements indicates to the nurse that further instruction is needed?
1. "I know I have to practice safe sex with my partner.".
2. "I will not share my toothbrush or razor with my partner.".
3. "I know I can't donate blood anymore since I have HIV.".
4. "I know to use an oil-based lubricant to prevent spread of the disease to my partner.".
4. "I know to use an oil-based lubricant to prevent spread of the disease to my partner.".
Rationale:
The nurse should educate the client regarding the prevention of the spread of
HIV. The client will need further education when he states that he will use an oil-based lubricant. The client should be educated to use latex condoms for oral, vaginal, or anal intercourse and to avoid natural or animal skin condoms, which allow passage of HIV. The client should use only water-based lubricants—not oil-based, such as petroleum jelly, which can result in condom damage. The client is correct in stating that it is not an acceptable practice to share toothbrushes or razors. The client is also correct in stating that blood donation is prohibited.
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