Sorry, no idea about the tensioner. I am dreading the day I need to do a tensioner or water pump on either of my VQs.
I have had the a noisy fuel damper and it was a constant knocking sound that changes with engine RPM, not just at startup, so if that is what you have, it might be the damper, hold onto the fuel hose on the right side of the engine while it is idling, if you can feel it pulsing in time with the knock, this is probably where the problem is.