# A client receiving SMOFlipid has a sharp triglyceride rise and new oxygenation difficulty. Which action is best?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=522670&lang=en  
> language: en  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## Question

A client receiving SMOFlipid has a sharp triglyceride rise and new oxygenation difficulty. Which action is best?

## Option

1. Stop or reduce the lipid infusion as authorized, notify the team, and evaluate triglycerides and respiratory status. **✔ Correct answer**
2. Increase the lipid rate because respiratory distress uses more calories.
3. Draw every laboratory specimen during the infusion without considering lipid interference.
4. Continue unchanged until visible fat separates inside the tubing.

**Correct answer: 1**

## Explanation

A marked triglyceride rise with respiratory deterioration requires immediate review of lipid delivery, possible interruption or reduction, and assessment for impaired clearance or fat-overload physiology.

## In-depth explanation

Quick answer
Connect hypertriglyceridemia and respiratory change with lipid-infusion safety.

Why this is correct
Lipid tolerance varies with illness and metabolism. Some laboratory tests are also affected by circulating lipid, so specimen timing and interpretation require coordination.

Easy analogy or mental picture
Treat every infusion as a controlled clinical system: verify the product and access, recognize a changing cue, stop preventable exposure, stabilize the client, and confirm the response.

Memory hook
Product, access, compatibility, infusion cue, protective action, and reassessment.

NCLEX decision rule
Choose the action that prevents the most immediate infusion-related harm while preserving vascular access and the ordered diagnostic evidence.

Why the other choices are wrong
Options that restart a suspect product, bypass a safety device, force an occluded tube, or delay reassessment can convert a reversible warning into serious harm.References
1DailyMed: SMOFlipidTriglyceride monitoring, infusion adjustment or interruption, laboratory interference, and fat-overload risk

## Clinical scenario

Blood product, nutrition, and intravenous-fluid safety review
Verify the product, prescription, route, access device, filter or tubing, compatibility, baseline findings, emerging adverse cues, response plan, and measurable follow-up.

## Related questions

- [A nurse is reviewing the morning lab results for an adult client receiving warfarin for at…](https://mymerci.kr/pages/nclex_q.php?qn_id=360515&lang=en)
- [A client is admitted to the emergency department after ingesting an unknown amount of acet…](https://mymerci.kr/pages/nclex_q.php?qn_id=362720&lang=en)
- [A client with chronic heart failure is prescribed metoprolol 25 mg orally twice daily. Bef…](https://mymerci.kr/pages/nclex_q.php?qn_id=362756&lang=en)
- [A 28-year-old client with type 1 diabetes receives regular insulin 6 units and NPH insulin…](https://mymerci.kr/pages/nclex_q.php?qn_id=362792&lang=en)
- [A client receives IV vancomycin 1 g every 12 hours for MRSA bacteremia. Before the next do…](https://mymerci.kr/pages/nclex_q.php?qn_id=362833&lang=en)
- [A client with bipolar disorder has been taking lithium carbonate 600 mg orally three times…](https://mymerci.kr/pages/nclex_q.php?qn_id=362894&lang=en)
- [An 80-year-old male with heart failure is prescribed digoxin 0.125 mg daily. During mornin…](https://mymerci.kr/pages/nclex_q.php?qn_id=372686&lang=en)
- [A 38-year-old female with rheumatoid arthritis is being discharged with a new prescription…](https://mymerci.kr/pages/nclex_q.php?qn_id=372687&lang=en)

## Read in another language

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=522670&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=522670&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=522670&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=522670&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=522670&lang=vi)

---

More free questions: [NCLEX-RN Practice](https://mymerci.kr/pages/nclex_bank.php?lang=en)

_For study reference only. Always follow current clinical guidelines and your institution’s protocols._