Use a 1/2" breaker bar and insert it into the 1/2" drive receiver hole that is cast into the tensioner arm. If you want to make it really easy, use a 2' cheater pipe on the end of your breaker bar; not because you need to break anything loose but because it makes holding the tensioner assembly in its slack position easier while you thread the new belt on.
The absolute best trick I can tell you is to thread your new belt onto all of the pulleys from up top, and save the air conditioner pulley for the last one. That way you are under the truck holding the tensioner in it full slack position while you just slip the belt onto the AC pulley last. One of the best tricks I've ever read on TDR.
If it were me, and if you know the history of the truck, I wouldn't change the tensioner pulley, or the tensioner assembly until around 250K miles. Unless, of course, you can see that the plastic stock pulley is wearing badly on one side, or if your belt is jumping a rib and peeling off an outer rib.
If you do decide to change the tensioner you need to know that the stock bolt into the block has thread locker on it so it take a fair amount of nice, slow torque to convince it to back off. Also, once you get it off you'll see a boss on the back side of the casting. Make sure you get this boss back into the hole on the engine block and seated correctly before you button it back up or you'll have the tensioner all cock-eyed.