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Quick question, I can hear a hum from my idler pulley on the passenger side. I am going to replace ASAP but should I do the tensioner and the other idler as well?
Do the idler first and see if the noise goes away. They're pretty cheap and easy to do. Just a single bolt that retains it to the bracket on most. (or at least they are on the 5.0/5.8
Should I replace the entire tensioner or just the pulley?
I don't think the pulley is available separately from the tensioner.
With the belt removed maybe turn each idler pulley as well as the alternator and tensioner too----anything wearing out should present itself by feel or a noise you can hear.
Were it me I'd just swap the entire tensioner. This way I'd know it was more likely to hold tension and not be an issue for a while yet. If the existing 270K miles is on the OEM tensioner I'd say that's quite a run, not a bit shocked it might be in need of a new on now.