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?

The surgery provides a visualization of other pathology and dysfunction of the kidney.

Surgery is necessary to stage the tumor and determine metastasis to other sites.

Metal clips are surgically applied at the tumor site for exact marking for radiation.

Biopsy may rupture the encapsulated tumor and cause the cancer cells to spread.