When attending a swimming activity with epilepsy, what is the nurse's best instruction?

• A. Research shows that cold water causes seizures more than warm water.
• B. Someone who knows what to do if you have a seizure should be with you.
• C. Before attempting to go swimming, you should consult with your healthcare provider.
• D. Swimming is one activity that people with epilepsy should plan to avoid.

Answer: (B)

Having a trained person nearby during swimming is the key safety step for someone with epilepsy. Water adds a real risk of drowning if a seizure occurs, so immediate, knowledgeable assistance is crucial to keep the swimmer safe. A person who knows seizure first aid can time the event, help the swimmer to shore, loosen tight clothing, protect the head, and ensure the airway while the seizure runs its course. After the seizure, the observer can monitor as the person recovers and provide reassurance.

Other ideas, like whether cold water triggers seizures, don’t address the immediate safety need during a seizure in the water. Simply consulting a healthcare provider beforehand is important, but it doesn’t guarantee someone is there who knows how to respond on the spot. Planning to swim with a trained helper directly reduces risk and supports safe participation.