A team of health professionals presents a summary of the evidence that they have found to recommend a practice change to their manager. The manager is concerned that there are no higher - level studies in the body of evidence. What would not be an appropriate response the manager might give the team about their concerns with the evidence?

A. "In considering your clinical issue, would it be ethical to conduct randomized control trials?"
B. "It is important to understand all that has been published on this issue that is relevant to your question."
C. "Systematic reviews with meta - analysis or meta - synthesis would strengthen the body of evidence."
D. "There are no randomized control trials included in the body of evidence, so a recommendation for practice change cannot happen."