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A medical assistant is not typically authorized to use a laser in a clinical setting. This restriction is in place due to the need for specialized training and the understanding of the risks associated with laser use. Laser devices require proper handling and knowledge of safety protocols, as improper use can lead to serious injuries, both to the patient and the operator.

In a medical environment, using lasers for procedures such as hair removal, skin resurfacing, or surgical applications typically falls under the scope of practice for licensed professionals like physicians or licensed nurses who have received appropriate training. Consequently, since medical assistants do not generally have the necessary training or certification to operate lasers, it is accurate to say that they should not use them at all.

The other options imply scenarios where a medical assistant might operate a laser, whether with supervision or only in emergencies, but these do not align with standard regulations and best practices in healthcare settings.