A 17-year-old girl comes to the emergency department because of a swollen tender ankle.

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A 17-year-old girl comes to the emergency department because of a swollen tender ankle. An x-ray of the ankle is strongly suggestive of osteosarcoma. She and her parents are told only that "further evaluation is needed." Which of the following next steps is most appropriate?


A. Request that an oncologist discuss the findings with them immediately
B. Request the presence of the hospital chaplain, then discuss the findings
C. Speak with the parents alone about the findings
D. Speak with the patient alone about the findings
E. Speak with the patient and her parents about the findings