Must a sweatshirt be removed before placing AED pads on an older adult?

The correct choice emphasizes the necessity of ensuring proper pad placement for the effective operation of the AED. Before using an AED, it is crucial that the pads make direct contact with the skin, as any barrier, including clothing such as a sweatshirt, can impede the electrical conduction needed for the device to function correctly. This direct contact enables the AED to accurately analyze the heart's rhythm and deliver a shock if required.

In terms of other options, while some clothing can sometimes be left on, sweatshirts present a specific challenge due to their thickness and coverage. Ensuring that the pads are appropriately placed on bare skin is essential for maximizing the AED’s effectiveness and ensuring the safety of the patient.