A 22-Year-Old Man Is Undergoing an Uncomplicated Laparoscopic Appendectomy

A 22-year-old man is undergoing an uncomplicated laparoscopic appendectomy. Intraoperatively, there was approximately 100 mL of blood loss, his urine output was 100 mL, and 1 L of lactated Ringer solution was administered. His pain has been controlled with intravenous morphine. He was admitted to the hospital 3 days ago and has not eaten in 18 hours. He has no history of serious illness. He has experimented with intravenous illicit drugs. He drinks 3 beers and 2 glasses of whiskey daily during the week and more on the weekends with his college fraternity. He appears anxious.   Which of the following symptoms or signs is most likely to appear earliest during this patient's hospitalization?

A) Fluctuating arousal level
B) Hypersomnolence
C) Nystagmus
D) Tonic-clonic seizures
E) Tremulousness
F) Visual hallucinations

Correct Answer:

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