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In which stage of the HIV lifecycle does the enzyme integrase play a crucial role, and what is its function in that stage?

A.

Assembly. Integrase packages the viral RNA into new virions.

B.

Integration: Integrase inserts viral DNA into the host's genome.

C.

Entry: Integrase helps the virus fuse with the host cell membrane.

D.

Reverse Transcription: Integrase copies viral RNA into DNA.

Answer and Explanation

The Correct Answer is B

A. In the assembly stage, other proteins and enzymes are involved in the packaging of viral components into new virions, not integrase.  

 

B. During the integration stage, integrase is essential as it inserts the newly formed viral DNA into the host's genome, enabling the virus to utilize the host's cellular machinery for replication.  

 

C. Integrase does not participate in the entry stage; this stage is facilitated by other proteins that aid in the fusion of the virus with the host cell membrane.  

 

D. Integrase is not involved in reverse transcription; that process is facilitated by the enzyme reverse transcriptase, which converts viral RNA into DNA.


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Correct Answer is D

Explanation

A. Increasing the infusion rate may exacerbate the patient's symptoms and does not address the potential toxicity from the furosemide.

B. Normal potassium levels indicate that potassium supplementation is unnecessary and does not address the dizziness and ringing in the ears, which could suggest ototoxicity from furosemide.

C. While reassurance can help, the patient's symptoms indicate a potential adverse reaction to the medication that should not be ignored.

D. Stopping the furosemide infusion and notifying the provider is the most appropriate action due to the risk of ototoxicity and the need for further evaluation of the patient's symptoms.

Correct Answer is A

Explanation

A. The CD4-T-cell count of 180 cells/mm3 is a critical measure of immune function in an HIV-positive client, indicating progression of the disease and risk for opportunistic infections. Values below 200 cells/mm3 signify the client has progressed to AIDS.

B. A positive Western blot test confirms the presence of HIV but does not indicate the immediate health risk or necessary interventions.

C. A platelet count of 150,000/mm3 is within the normal range, thus not indicative of any urgent concerns.

D. A WBC count of 5,000/mm3 is also within normal limits and does not highlight an immediate issue that needs addressing compared to the CD4 count.

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