A client was struck on the head by a baseball bat during a robbery attempt. The nurse gives shift report to the oncoming nurse and conveys that the client's current Glasgow Coma Scale score is a '10.' Which other information is most important for the reporting nurse to include?

B Client's Glasgow Coma Scale score was '11' one hour ago C Client believes that the current surroundings are a racetrack D Client is allergic to penicillin and vancomycin A Client's blood pressure was 120/80 mm Hg and pulse was 82/min recently