Differentiating this equation implicitly with respect to x yields 2x-10/2y-4. Thus we see that 2x-10=0 (2y-4 can't equal zero, that would be undefined) From here x=5. So the point is P(5,y). set x=5 in the original equation, solve for y and there you got the y. This turns out that that y has two values for x=5, and those being 1 and 3.
Btw, tangent comes from the latin word tangens, which means touch. So a tangent line touches a curve at just one point. And the derivative of the curve at that point gives us the slope of the tangent line.