Air would be the purview of a Necklace of Adaptation.
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Air isn't nourishment. I'm sure a petty and pedantic player might argue otherwise, but that's when the iron fist of the GM must slam down firmly on the table. If they continue to argue, just point to the spell necessary for the creation of the ring: create food and water.
actually, the answer is much more pedantic. Read the item description. If it doesn't mention air, then it doesn't provide air.
If you search for ioun stones here (http://paizo.com/pathfinderRPG/prd/magicItems/wondrousItems.html#_ioun-sto nes) you will see that they list seperately the clear and iridescent ioun stones. One says sustains creature without food and water, and one says sustains creature without air. Since iridescent is more expensive and is the that sustains without air it would make no since for clear to do the same. The mechanical description of the clear ioun stone is very similar to that of the ring of sustenance.
If they did have an object that provided air to them then no they wouldn't need to have the water breathing spell, the item would provide them air.
According to the rules for poison, if holding your breath there is a 50% chance you don't have to make a fort save against the poison for inhaled poison. I would probably the dragons breath in this way. However, they would have to declare they are holding their breath before the attack in order for this to work. They couldn't declare it as the attack is done because they don't know he's going to do it.
Air would be the purview of a Necklace of Adaptation.
While we're on the subject of petty and pedantic...
Since the Necklace of Adaptation surrounds the character with an air bubble, allowing them to breath in a vacuum or underwater, would that air bubble maintain an appropriate pressure to keep a character from being killed in a vacuum or deep under water?
Air would be the purview of a Necklace of Adaptation.While we're on the subject of petty and pedantic...
Since the Necklace of Adaptation surrounds the character with an air bubble, allowing them to breath in a vacuum or underwater, would that air bubble maintain an appropriate pressure to keep a character from being killed in a vacuum or deep under water?
It does what it says it does, it might provide air to breathe but it makes no mention of protecting from pressure, allowing 'deep sea diving' or exploring the outer atmosphere, etc.
Mendedwall12's answer makes the most sense here. The description of the ring actually isn't really specific enough to resolve it to the nth degree (it really just means "nourishment" and nothing else), but the spell creation item is specific - "create food and water".
Thanks. I thought it was a pretty good answer too. ;)