If the rust doesn't bother you, just remove the caster shim (that is in backwards) on the front axle and run it as is. The stock steering works just fine with the 3-4" shackle reversal lift, I drove mine for over a decade like that with no problems (although there is definitely room for improvement). The shackle reversal is not the most comfortable with the stock length 60 series lift springs; if you want to make it work correctly and fix the shackle angle, replace the front springs with ones for a 75 series, they are 40mm longer on the shackle side and easy to get new.
Looking past the rust and neglect, someone spent some time and money getting the suspension and axles sorted at some point. OME suspension, U-bolt flip kits front and rear, braided brake lines, shackle reversal kit (pro or con depending on your preference)... If you don't mind cleaning up the rust, you would be ahead about $2500 vs a stock truck