What assessment finding would be concerning for a client with a right tibia fracture?

Neurological deficits in the toes following a right tibia fracture signify a potential compromise of nerve function in the lower extremity. This could indicate damage to the peroneal or tibial nerve, which can be associated with the fracture itself, swelling, or associated hematoma formation. Neurological assessment is crucial in this context, and deficits may manifest as tingling, numbness, weakness, or loss of sensation in the toes. These findings are alarming because they could suggest more serious complications, such as nerve injury, that may require immediate medical intervention.

In contrast, swelling around the fracture site can be a common and expected finding due to the body’s inflammatory response to injury. The ability to wiggle the toes is a good sign, indicating that some nerve function remains intact. Warmth of the leg may reflect increased blood flow as part of the healing process or may indicate minor inflammation, but it does not point to an acute neurological issue. Thus, the presence of neurological deficits is a significant red flag that necessitates further investigation and possible intervention to prevent long-term complications.