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As a medical assistant, you are performing reagent chemical strip analyses on patient specimens when you discover a specimen that is more than 2 hours old and has been sitting at room temperature during this time.

When you remove the lid from the container, you smell a foul, ammonia-like odor. The chemical strip indicates positive protein, positive nitrite, and positive bacteria. The microscopic analysis reveals four bacteria but no evidence of white blood cells.

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What is the maximum length of time that a urine specimen should be left at room temperature?

If analysis cannot be performed within that maximum length of time, how should the specimen be handled?

An ammonia-like or foul odor associated with a specimen ordinarily indicates what condition or disease?

Does the chemical analysis confirm your suspicion associated with the odor? Given the circumstances, can you trust the results on this specimen?

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