Glasgow Coma Scale The nurse is reassessing the level of consciousness in a client with a head Injury and elevated intracranial pressure. The previous Glasgow Coma Scale score was 6. Using the Glasgow Coma Scale, the nurse notes that the client opens the eyes only as a response to pain, responds with sounds that are not understandable, and has abnormal extension of the upper extremities when pain is elicited. What should the nurse do?