Final answer:
The most important instruction for a patient with a new arm cast is to observe the fingers for changes in color/temperature. Resting the arm and avoiding powder in the cast are also important.
Step-by-step explanation:
The most important instruction for a patient who has just had an arm cast applied is to observe the fingers for changes in color/temperature. This is crucial because it helps monitor blood circulation and nerve function. If there is a decrease in blood flow or nerve damage, it can lead to serious complications.
Resting the arm at waist level is also important to reduce swelling and promote proper healing. Trimming the cast should only be done with the permission of the physician to avoid any unintended harm. Lastly, powder should not be applied inside of the cast as it can create a moist environment and increase the risk of infection.