On a follow-up visit after having a vaginal hysterectomy, a 32-year-old patient has a decreased hematocrit level. Which of the following complications does this suggest?
A. Hematoma
B. Hypovolemia
C. Infection
D. Pulmonary embolus (PE)
Correct Answer: A. Hematoma
A decreased hematocrit level is a sign of hematoma, a delayed complication of abdominal and vaginal hysterectomy.
Option B: Symptoms of hypovolemia include increased hematocrit and hemoglobin values.
Option C: Infection manifests with fever and high WBC count.
Option D: Symptoms of a PE include dyspnea, chest pain, cough, hemoptysis, restlessness, and signs of shock.