I would caution using / as your identifier as remember you may have /usr or /home lines as well.
For your sed you can add a search to the fron of your change:
Code:
sed '/<something on line your looking for>/s/realtime/acl,relatime/' /etc/fstab
This will tell sed to only make a change to the line you find.
awk on the other hand would be a little nicer as the whole field will equal just / and if you make
your change to the line and not the field you can maintain the formatting:
Code:
awk '$2=="/"{sub(/realtime/,"acl,&")}1' /etc/fstab