A nurse is performing catheter care for a client with an indwelling urinary catheter. Which action demonstrates the best practice to prevent catheter-associated urinary tract infection (CAUTI)?

Pulling on the catheter to straighten it before cleaning to improve access to the insertion site

Using alcohol-based sanitizer alone without soap and water for genital and catheter cleaning

Cleaning the catheter from the meatus downward while holding it near the meatus to prevent tension on the catheter

Cleaning the catheter starting from the distal end away from the meatus and moving upward toward the body