A client is diagnosed with a herpes infection. Which drug is considered the first-line treatment?

A. Requires that the first dose be taken within 72 hours of unprotected intercourse: While some emergency contraceptives like Plan B are most effective within 72 hours, Ella (ulipristal acetate) can be effective up to 120 hours after unprotected intercourse, so the 72-hour limitation does not apply universally.

B. Requires that the woman take second and third doses at 24 and 36 hours after the first dose: This dosing schedule applies to older multi-dose regimens of levonorgestrel, not to single-dose emergency contraceptives like Ella or the one-dose Next Choice, which do not require multiple follow-up doses.

C. Must be taken in conjunction with an IUD insertion: Emergency contraceptive pills function independently to prevent ovulation or fertilization and do not require an IUD insertion. IUDs can also be used as emergency contraception, but they are a separate method.

D. Most states require the woman to have a valid prescription: Ella is prescription-only in many states, and the requirement for a prescription differentiates it from over-the-counter emergency contraceptives like Plan B, making this the accurate regulatory consideration for its use.

A. Apply a warm compress: Warm compresses are used to relieve muscle tension or promote circulation, but immediately after an episiotomy, warmth can increase swelling and discomfort rather than provide pain relief.

B. Apply ice pad or pack: Applying an ice pack to the perineal area immediately postpartum helps reduce swelling, inflammation, and discomfort at the episiotomy site. Cold therapy provides local vasoconstriction, which minimizes edema and offers pain relief during the first 24 hours.

C. Vital signs every two hours: Monitoring vital signs is important for detecting systemic complications, but it does not directly address perineal pain, edema, or wound care for an episiotomy.

D. Early ambulation: Early ambulation promotes circulation and reduces the risk of thromboembolism, but it should be initiated only after pain is managed and the patient can safely mobilize without exacerbating perineal discomfort.