Answer: 
The expression is in the form
where a = -25 and b = 18
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Work Shown:
Let
and then square both sides

We'll use both x and x^2 later on.
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The denominator is in the form 4+x. We'll multiply top and bottom by 4-x to then use the difference of squares rule. This will allow us to eliminate the square root in the denominator.


Therefore,

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Checking the answer:
Use a calculator to find that,

We get the same decimal approximation, which helps confirm the correct answer.
Or you could use the idea that if M = N, then M-N = 0 to subtract the original expression M and the final result N. You should get 0 or very close to it.