Step 1: First we have to write polynomials in descending order.
$$ \begin{aligned} P(x) &= x^2+2x-4 \\ Q(x) &= -9x-3 \\ \end{aligned} $$Step 2: Write second polynomial below the first one. Making sure like terms are lined up.
$$ \begin{array}{lrrr} & x^2 & 2x & -4 \\ \color{red}{ - } & & -9x & -3 \\ \hline \end{array} $$Step 3: Change ALL the signs in the second row.
$$ \begin{array}{lrrr} & x^2 & 2x & -4 \\ \color{red}{ - } & & 9x & 3 \\ \hline \end{array} $$Step 4: Combine like terms (add each column):
$$ \begin{array}{lrrr} & x^2 & 2x & -4 \\ \color{red}{ - } & & 9x & 3 \\ \hline & x^2 & -7x & -7 \end{array} $$