Final answer:
The nurse should explain that topiramate is included in Qsymia to help produce feelings of satiety, thus augmenting the appetite-suppressing effects of phentermine in the weight loss medication.
Step-by-step explanation:
A patient will begin taking phentermine and topiramate [Qsymia] to help with weight loss and asks the nurse why the second ingredient is necessary. The correct response by the nurse is: "Topiramate helps produce feelings of satiety to augment the drug effects."
Phentermine is a stimulant that suppresses appetite, while topiramate is added to help extend the feeling of fullness after eating, or satiety. This combination helps individuals eat less and feel full sooner, which can aid in weight loss. Topiramate does not act as a stimulant, it doesn't increase the appetite suppression caused by phentermine directly, nor does it reduce the risk of seizures related to phentermine use in this context.