Medical-Surgical Nursing 8th Edition by Donna Ignatavicius , Linda Workman

Exercise 2

L. and C.R. are two men in a 2-year monogamous relationship, who were recently married in Washington state. J.L. has been HIVpositive for 4 years. C.R. is HIV-negative and in good health. J.L. is currently an inpatient for an elective cholecystectomy this afternoon. His HIV infection is well controlled on a three-drug cocktail, which he is tolerating well. During the assessment, you ask J.L. how they keep C.R. HIV-negative. A sheepish grin follows. J.L. is generally the insertive (active) partner and C.R. and J.L. have mutually agreed to not use condoms for either oral or rectal sex, as that affects the quality of their sexual pleasure. They continue to make sure that J.L.'s viral load is kept undetectable and he always "pulls out" prior to ejaculation.
What should you tell them about condom use?