A 16-year-old boy has been inhaling paint fumes to "feel good." His grandmother called 911 when she found him doing this in the basement and he told her he was having a hard time breathing. He is alert and oriented, with a patent airway and adequate breathing. His radial pulse is strong and skin warm and dry. Your partner reports mild wheezing in both lungs. Vital signs are: pulse 92,

respirations 20, blood pressure 148/62, and SpO2 98 percent on room air. He has no medical history. Appropriate initial care would include:

A) positive pressure ventilation with supplemental oxygen.
B) breathing treatment with a metered dose inhaler.
C) oxygen at four liters per minute through a nasal cannula.
D) high flow oxygen through a nonrebreather mask.

Answer: D