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The NANDA nursing diagnosis for pyelonephritis typically includes "Acute Pain" related to inflammation of the renal tissue, as evidenced by patient reports of flank pain and tenderness. Other potential diagnoses may include "Impaired Urinary Elimination" due to infection and inflammation affecting normal urinary function, as well as "Risk for Infection" given the underlying urinary tract infection. Care plans should focus on pain management, promoting adequate fluid intake, and monitoring for complications.

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