@Erika Collins
When you are removing the "item," if it has lead paint you will be creating lead paint dust. If the paint does test positive, you'll need to follow regulated procedures to clean it up (or contract it out).
FYI: Part of the reason for the requirements and protocol is because it really doesn't take much to have lead poisoning at all. Furthermore, the issues (in rehabs) weren't the contractors/workers getting sick, it was the lead paint dust was taken back home on their clothes. Their kids were becoming lead poisoned and various levels of disabled for life.
The good news is that the closer in time to '78, the less likely hood of have lead paint. I think the stats way back to 40's have the majority of the paint manufactures using lead as an additive. So, do the test to be sure and do it right. Then, you'll know whether precautions and proper cleanup procedures are required.
Hope this helps. Happy to chat. Good luck.