Why the combined option is correct: The first three options each describe only one link in a single cause-and-effect chain, so picking any one alone is incomplete.
Organic nutrients entering a water body first feed aquatic bacteria, whose population grows; this bacterial decomposition consumes dissolved oxygen, raising the Biological Oxygen Demand; and the nutrient enrichment itself drives excessive algal and plant growth, i.e. eutrophication.
Because all three effects occur together as one continuous process, the option listing all of them is the correct choice.