Which of the following assessments should be performed to monitor for impaired tissue integrity?

A. Respiratory rate and oxygen saturation: These are essential for assessing respiratory function and oxygenation but are not directly related to monitoring tissue integrity. They may be relevant if tissue damage is related to hypoxia, but not for general skin assessments. B. Heart rate and blood pressure: These vital signs assess cardiovascular function but do not directly evaluate the condition of the skin or risk for tissue breakdown. They may support circulation assessment but are not specific to tissue integrity. C. Skin turgor and moisture: Assessing skin turgor evaluates hydration status, and skin moisture indicates whether the skin is too dry or excessively moist—both factors significantly influence tissue integrity. These are direct assessments of the skin’s condition and risk for breakdown. D. Pupil size and reaction: These neurological assessments are used to evaluate brain function and cranial nerve integrity. They are unrelated to the assessment of tissue integrity or the risk for skin injury.