If signs of fluid overload occur, what should you do?

• A. Increase rate
• B. Reduce rate and notify provider
• C. Stop IV
• D. Switch line

Answer: (B)

When fluid overload signs appear, the priority is to slow down the IV and involve the provider. Reducing the infusion rate lowers the amount of fluid being delivered, which helps prevent further overload while you assess the patient and await orders. While you monitor vitals, lung sounds, and edema, the provider may adjust the plan—changing the rate, switching fluids, or adding diuretics as appropriate. Increasing the rate would worsen overload, and switching lines won’t address the excess fluid in the body. Stopping the infusion entirely isn’t the first step unless the patient’s condition dictates it or there’s a line issue; otherwise, slowing the rate and communicating with the provider is the safest, most effective immediate action.