The parents of a child who is diagnosed with Wilm’s tumor ask the nurse why surgery is necessary before a biopsy is performed. What information should the nurse provide?

Choice A rationale While surgery can provide a visualization of other pathology and dysfunction of the kidney, this is not the primary reason for performing surgery before a biopsy in the case of Wilms’ tumor. Choice B rationale Although staging the tumor and determining metastasis to other sites is an important part of the treatment process, it is not the main reason for performing surgery before a biopsy in the case of Wilms’ tumor. Choice C rationale While metal clips may be surgically applied at the tumor site for exact marking for radiation in some cases, this is not the primary reason for performing surgery before a biopsy in the case of Wilms’ tumor. Choice D rationale The main reason for performing surgery before a biopsy in the case of Wilms’ tumor is that a biopsy may rupture the encapsulated tumor and cause the cancer cells to spread.