A 16-year-old male patient has been inhaling paint fumes to "feel good." His grandmother called 911 when she found him doing this in the basement and he said he was having a hard time breathing. The patient is alert and oriented, with a patent airway and adequate breathing. His radial pulse is strong and his skin warm and dry. Your partner reports mild wheezing in both lungs. Vital signs are pulse, 92; respirations, 20 breaths/min; blood pressure, 148/62 mmHg; and SpO2, 96% on room air. The patient has no medical history. Appropriate initial care would include:
A) Positive pressure ventilation with supplemental oxygen
B) Oxygen by nasal cannula at 8 liters per minute
C) Breathing treatment with a metered-dose inhaler prescribed to the grandmother
D) High-concentration oxygen through a nonrebreather mask
D) High-concentration oxygen through a nonrebreather mask
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