Which finding indicates intact neurovascular status in a client with an external fixator?

• A. The client can wiggle toes, toes are warm to touch, and pedal pulses are present
• B. Pin sites are clean with no signs of infection
• C. The client reports pain upon movement
• D. The client has a fever

Answer: (A)

Intact neurovascular status means the limb distal to the injury is receiving adequate blood flow and has functional nerves and muscles. The ability to wiggle the toes shows motor nerve function and muscle integrity, while warmth of the toes and the presence of pedal pulses indicate good arterial perfusion and circulation. Taken together, these signs confirm the distal neurovascular status is preserved. Pin-site cleanliness relates to infection prevention around the fixator, not neurovascular function. Pain on movement and fever point to potential complications such as infection or other distress, but do not by themselves demonstrate intact distal neurovascular status.