A patient is recovering from abdominal surgery when he develops sudden and profuse bleeding from the surgical site. Which of the following signs or symptoms should the nurse check for that would indicate altered cerebral perfusion as a result of bleeding?


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- Irritability and restlessness

- Dilated pupils

- Headache

- Inability to speak


Altered tissue perfusion from bleeding can affect the organs and tissues, including the brain. When there is not enough blood flow to the brain, the patient will develop cognitive changes. Irritability and restlessness are two cardinal signs of altered cerebral tissue perfusion associated with blood loss.

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