After addressing a downstream occlusion, what should you do next?

• A. Restart the infusion at a higher rate
• B. Replace the IV catheter immediately
• C. Discontinue the infusion and reinsert the line
• D. Restart the infusion and monitor for proper flow

Answer: (D)

The key idea is to verify that the IV line is truly patent and delivering as ordered after clearing an occlusion. Once the blockage is resolved, you re-establish the infusion and closely monitor to ensure smooth flow at the prescribed rate. Restarting at a higher rate isn’t appropriate because the line may not be able to sustain it and another occlusion or infiltration could occur. Replacing the catheter immediately isn’t necessary if patency has returned, and discontinuing the infusion with reinsertion adds unnecessary invasiveness and risk when the line is already functioning. So, re-start the infusion and watch the flow to confirm proper delivery and continue to monitor for any signs of trouble.