Final answer:
The nurse determines that the patient may have an acute bacterial infection based on an increased number of band neutrophils. The correct answer is option 3.
Step-by-step explanation:
The nurse determines that the patient may be suffering from an acute bacterial infection based upon an increased number of band neutrophils. Neutrophils are a type of white blood cell that are among the first immune cells to arrive at the site of an infection, especially bacterial.
A blood test showing increased numbers of band neutrophils, which are immature neutrophils, suggests that the body is producing more of these cells to fight an infection. This is known as a 'left shift' and is indicative of an active bacterial infection.
The presence of band neutrophils is a more specific indicator of bacterial infection than increased platelet count, blood urea nitrogen, or segmented myelocytes. In clinical contexts such as a patient diagnosed with a urinary tract infection or bacterial meningitis, an elevated neutrophil count, especially band forms.