I was recently in Cozumel and on several dives I watched the DM capture some lionfish. Each time he started to make the capture, some nearby fish, especially grouper, would start hanging around, watching expectantly. after making the catch, he took out scissors and cut off the spines before feeding them to the fish. I saw some fish seemingly inhale the body of a lion fish almost as big as they were that way.
On the other hand, a couple of times he released the dead lion fish without taking off the spines. When he did that, the fish that ate them were much more careful. They took bites off the head first, almost as if they were trying to artfully bite between the area of the spines. I never saw one eat the whole lion fish with the spines in one bite the way they did when the spines were removed. Now, these were not anything as big as a nurse shark, so I don't know how they do it.