The nurse is planning to assess a client's nose. Which action should the nurse take first?

Choice A reason: Observing the nose for symmetry is the first step in assessment. Inspection precedes palpation or instrumentation in physical exams. This allows the nurse to identify obvious abnormalities such as asymmetry, swelling, or deformities before proceeding to more invasive techniques. Choice B reason: Viewing the nasal cavity with an otoscope is important but should not be the first step. It follows inspection and testing of patency to avoid unnecessary discomfort if obvious external abnormalities are present. Choice C reason: Testing patency of the nostrils is performed after inspection. It helps determine airflow but is not the initial step. Choice D reason: Palpating the sinuses is done later in the assessment, after inspection and patency testing. It evaluates tenderness or inflammation but is not the first action.