A female client, age 56, has been ordered methotrexate (Rheumatrex, Trexall) and etanercept (Enbrel) for treatment of severe rheumatoid arthritis. She wants her daughter to administer the etanercept because of limitations due to arthritis-related deformities in her hands. The daughter is worried about giving her mother the medication.
1. How is etanercept (Enbrel) given? How often?
2. What instructions should the nurse give the daughter about administering this medication?
3. What potential adverse effects may occur in addition to those related to the injection itself?
4. What is the drug classification for methotrexate? What are potential adverse effects for this drug?
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