I'd leave the tensioner as is, no need to replace a new part. It'll adjust to the new parts. I don't think that your idler sprocket is that bad. I'm not 100% sure about that crank sprocket though. It's hard to tell. You'll be testing the chain for stretch too, right?
Did your mech change the right guide? It's the one on the driver's side of the motor. I might be seeing things, but are there a few cracks around that lower bolt hole? My usual determination of replacing or just cleaning is usually a direct relationship with the difficulty of taking it all apart again...
A stretched chain will be noisy even with all other components in serviceable shape. Might be that your old mechanic tweaked those cams to quiet the whole thing down instead of attempting to refurbish the whole timing case. These engines are pretty cheap used, my mechanic would likely have dome something similar unless I specifically told him otherwise.