Peru drives on the right — and an International Driving Permit (IDP) is recommended.
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Peru drives on the right-hand side of the road.
Not strictly, but it's recommended. Peru accepts a US license for a short grace period, but requires (or strongly recommends) an IDP for longer stays and most rentals ask for one.
In the US, an IDP is issued by AAA or the National Auto Club — it costs around $20, requires a passport photo, and can't be obtained after you've already left the country.
No — an IDP is a translation document, not a standalone license. You must carry your regular US driver's license alongside it at all times.