Which action is most appropriate for a nurse caring for a client with an indwelling urinary catheter?

Cleaning the catheter starting at the meatus (the opening of the urethra) and moving downward is the most appropriate action for a nurse caring for a client with an indwelling urinary catheter. This technique helps to reduce the risk of introducing bacteria into the urinary tract, which can cause catheter-associated urinary tract infections (CAUTIs). By starting at the meatus and cleansing in a downward motion, the nurse ensures that any contaminants are moved away from the urinary entry point, promoting better hygiene and client safety.

Maintaining a clean environment around the catheter is crucial for preventing infection, and the downward motion prevents the spread of potential pathogens from the contaminated areas of the catheter tubing back towards the bladder. This method is in alignment with best practices for catheter care, emphasizing the importance of meticulous hygiene in preventing complications associated with indwelling catheters. Other options may not prioritize the same level of infection control or patient safety.