Answer
$\dfrac{7\sqrt{x}-28}{x-16}$
Work Step by Step
Multiplying by the conjugate of the denominator and using $(a+b)(a-b)=a^2-b^2,$ the given expression, $
\dfrac{7}{\sqrt{x}+4}
,$ simplifies to
\begin{array}{l}\require{cancel}
\dfrac{7}{\sqrt{x}+4}\cdot\dfrac{\sqrt{x}-4}{\sqrt{x}-4}
\\\\=
\dfrac{7\sqrt{x}-28}{(\sqrt{x})^2-(4)^2}
\\\\=
\dfrac{7\sqrt{x}-28}{x-16}
.\end{array}