A postpartum client sustained a fourth-degree perineal laceration during vaginal delivery. The nurse is developing a care plan focused on promoting healing and preventing complications. Which combination of interventions best addresses the unique challenges of this type of injury?

Administer prescribed stool softeners, maintain strict perineal hygiene with warm water rinses, encourage use of a peri-bottle, and monitor for signs of urinary retention and infection.

Encourage immediate ambulation, restrict oral fluids, apply cold compresses to the perineum, and teach avoidance of Kegel exercises for 6 weeks.

Limit the use of pain medication to observe for infection, encourage frequent sitz baths starting 24 hours after delivery, and restrict dietary fiber to prevent diarrhea.

Promote frequent use of strong laxatives to prevent constipation, discourage perineal cleansing to avoid imitation, and advise delaying follow-up appointments until 6 weeks postpartum.