The field extension $\mathbb{Q}[\sqrt{7+\sqrt{3}}]/\mathbb{Q}$ has degree four and $\sqrt{7+\sqrt{3}}$ is a primitive element.
I'm interested in dividing this into two successive field extensions of degree 2, namely $\mathbb{Q}[\sqrt{7+\sqrt{3}}]/\mathbb{Q}[\sqrt{3}]$ and $\mathbb{Q}[\sqrt{3}]/\mathbb{Q}$.
I'd like to know if I can adjoin a different element than $\sqrt{7+\sqrt{3}}$ to $\mathbb{Q}[\sqrt{3}]$ in order to get to $\mathbb{Q}[\sqrt{7+\sqrt{3}}]$. After all, $\sqrt{7+\sqrt{3}}$ is already a primitive element of the full extension.
In the case of $\mathbb{Q}[\sqrt{2}+\sqrt{3}]/\mathbb{Q}$, for example, I can choose to either adjoin the two elements $\sqrt{2}$ and $\sqrt{3}$ or only the primitive element $\sqrt{2}+\sqrt{3}$. So what I am looking for is the analogue to the second square root here.
If $K$ is a field, and $t$ has no square root in $K$, then the extension $K\subset K[\sqrt{t}]$ has degree $2$.
It is straightforward to show that an element $a+b\sqrt{t} \in K[\sqrt{t}]$ generates the extension if and only if $b\neq 0$.
It follows that the generators of the extension $\mathbb{Q}[\sqrt{3}] \subset \mathbb{Q}[\sqrt{7 + \sqrt{3}}]$ are exactly the numbers of the form $a + b\sqrt{7+\sqrt{3}}$, with $a,b\in\mathbb{Q}[\sqrt{3}]$ and $b\neq 0$.
These all have degree $4$ over $\mathbb{Q}$, so the literal answer to the question is no. However, the generator $\sqrt{3}\sqrt{7+\sqrt{3}} = \sqrt{21 + 3\sqrt{3}}$ is an interesting choice that is equivalent to $\sqrt{7+\sqrt{3}}$, but not trivially so.
To expand on Jyrki's comment, $\mathbb{Q}[\sqrt{7+\sqrt{3}}]$ is contained in the Galois extension $\mathbb{Q}\subset\mathbb{Q}[\sqrt{7+\sqrt{3}}, \sqrt{7-\sqrt{3}}]$, and corresponds to a non-normal subgroup of the Galois group $D_8$.
(Note: It's not hard to show that the Galois group is $D_8$, since every order $8$ subgroup of $S_4$ is isomorphic to $D_8$.)
But a non-normal subgroup of index $4$ in $D_8$ is contained in a unique subgroup of index $2$. It follows that $\mathbb{Q}[\sqrt{3}]$ is the only intermediate field extension of $\mathbb{Q}\subset\mathbb{Q}[\sqrt{7+\sqrt{3}}]$, so looking for anything like a "second square root" is futile.
Maybe it's easier than all this. We cannot have $\mathbb{Q}[\sqrt{7+\sqrt{3}}] = \mathbb{Q}[\sqrt{3}, \sqrt{n}]$, because the latter is Galois while the former is not.