A patient is diagnosed with a deep vein thrombosis. The physician orders Coumadin. What skin lesion should the nurse monitor this patient for?
A) Ulcer
B) Ecchymoses
C) Scar
D) Erosion
Ans: B
Feedback: Ecchymosis refers to a round or irregular macular lesion, which is larger than petechiae. This occurs secondary to blood extravasation. It is important to watch for ecchymosis in a patient receiving any type of blood thinner. An ulcer is an open lesion eroded into the patient's flesh. A scar is an area on the skin caused by the healing of an injury. Erosion is loss of superficial epidermis that does not extend to the dermis; a depressed, moist area.
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