The postpartum client delivered 4 hours ago. She has a mediolateral episiotomy and large ...

 1
Explanation:  1. This is the best option, because the client is experiencing moderately severe pain with inflammation. Ibuprofen is a nonsteroidal anti-inflammatory drug that both reduces inflammation and provides pain relief.
2. This medication is contraindicated because of the client's allergic reaction to acetaminophen.
3. Topical anesthetic sprays can be a helpful adjunct in pain relief, but are not sufficient when a client has moderately severe pain.
4. Ice packs would be better at this stage because they will cause vasoconstriction to reduce edema and pain relief.

You are really a genius. Thanks

NP