Nursing 131 Nursing 131 28. The 72 year old client has experienced unexplained 5 -pound weight lost in two weeks and has reported "more dizziness than usual" he is taking multiple medication for hypertension and arthritis. The nurse identifies which of the following factors as a possible reason for these clinical manifestations. a. Lack of health promotion activities b. inadequate nutrition c. polypharmacy d. lack of supervision.